Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | ME91626 | FL |
NPI | 1023081700 |
---|---|
Provider Name | Hector Edward James |
First Address | Jacksonville, FL 32231-4008 |
Second Address | Jacksonville, FL 32207-8337 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2006 |
Last Update Date | 03/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2680084-00 | (05) | FL |
348000736A | (05) | GA |
E22543 | (02) | FL |