MEDICARE: JAMES W FLETCHER 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	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	ME126152	FL
2	2086S0122X	Plastic and Reconstructive Surgery Physician	44541	MN
3	2086S0122X	Plastic and Reconstructive Surgery Physician	44200-020	WI
4	208200000X	Plastic Surgery Physician	ME126152	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	:	1679546402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES W FLETCHER MD

Provider Business Mailing Address
First Line	:	2320 NE 9TH ST STE 300
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-3579
Country	:	US
Telephone Number	:	954-563-4500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2320 NE 9TH ST STE 300
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-3579
Country	:	US
Telephone Number	:	954-563-4500
Fax Number	:

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

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	07/21/2022

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