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NPI Code Detail

MEDICARE: ANTHONY REID JAMES P.A.

MEDICARE: ANTHONY REID JAMES P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA 1715FL

General Provider Information

NPI Number : 1346207941
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY REID JAMES P.A.
Provider Business Mailing Address
First Line : PO BOX 15349
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32317-5349
Country : US
Telephone Number : 850-383-3300
Fax Number : 850-383-3497
Provider Business Practice Location Address
First Line : 1491 GOVERNORS SQUARE BLVD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32301-3049
Country : US
Telephone Number : 850-383-3300
Fax Number : 850-383-3497
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 07/08/2007

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