MEDICARE: DR. JAMES B BALL JR. 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
1	2085N0700X	Neuroradiology Physician	ME48726	FL
2	2085R0202X	Diagnostic Radiology Physician	ME48726	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
2	02132	OTHER	FL	BCBS OF FLORIDA

General Provider Information

NPI Number	:	1871590232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES B BALL JR. M.D.

Provider Business Mailing Address
First Line	:	16043 BELLA WOODS DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-5133
Country	:	US
Telephone Number	:	813-972-7105
Fax Number	:

Provider Business Practice Location Address
First Line	:	7050 GALL BLVD
Second Line	:	RADIOLOGY DEPARTMENT
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33541-1347
Country	:	US
Telephone Number	:	813-779-6302
Fax Number	:	813-783-6116

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	02/25/2009

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