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NPI Code Detail

MEDICARE: DR. NICHOLAS JAMES M.D.

MEDICARE:  DR. NICHOLAS  JAMES  M.D.
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
1207R00000XInternal Medicine PhysicianME134940FL
2207RH0002XHospice and Palliative Medicine (Internal Medicine) PhysicianME134940FL

Other Identifiers

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

General Provider Information

NPI Number : 1730558800
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICHOLAS JAMES M.D.
Provider Business Mailing Address
First Line : 12470 TELECOM DR STE 300W
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33637-0904
Country : US
Telephone Number : 813-871-8183
Fax Number : 813-871-8184
Provider Business Practice Location Address
First Line : 4200 W CYPRESS ST STE 690
Second Line :
City : TAMPA
State : FL
Zip : 33607-4112
Country : US
Telephone Number : 813-877-2200
Fax Number : 813-383-5041
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2015
Last Update Date : 06/30/2020

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Directions to “ DR. NICHOLAS JAMES M.D.” Practice Location

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