MEDICARE: JAMES M TRICE III MD

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
1	207R00000X	Internal Medicine Physician	ME71400	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427062983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES M TRICE III MD

Provider Business Mailing Address
First Line	:	1691 MICHIGAN AVE STE 300
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-2561
Country	:	US
Telephone Number	:	305-538-3828
Fax Number	:	305-538-1979

Provider Business Practice Location Address
First Line	:	1691 MICHIGAN AVE STE 300
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-2561
Country	:	US
Telephone Number	:	305-305-5383
Fax Number	:	305-538-1979

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	12/14/2022

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