Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | ME0047629 | FL |
NPI | 1306843370 |
---|---|
Provider Name | James W. Orr JR. |
First Address | Fort Myers, FL 33907-1412 |
Second Address | Fort Myers, FL 33905-7816 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2005 |
Last Update Date | 18/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
042023900 | (05) | FL |
07-05465 | UTD. HLTHCR. PROV. NUMBER (01) | FL |
1092034-002 | CIGNA PROVIDER NUMBER (01) | FL |
2271943 | AETNA HMO PROVIDER # (01) | FL |
28200 | WELLCARE (01) | FL |
4312869 | AETNA OTHER PROVIDER # (01) | FL |
4859658 | AETNA (01) | FL |
53820 | BCBS OF FL PROVIDER # (01) | FL |
867629 | FIRST HEALTH PROV. # (01) | FL |
980000201 | RAILROAD MEDICARE (01) | FL |
D65105 | (02) |