1255605051 NPI number — JAMES & NEWTON LLC

Table of content: (NPI 1255605051)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255605051 NPI number — JAMES & NEWTON LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JAMES & NEWTON LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PA CENTERS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255605051
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/27/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 651
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLARCONA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32710
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-590-2971
Provider Business Mailing Address Fax Number:
407-545-4289

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6650 S HWY 1792
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FERN PARK
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32730-2040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-590-2971
Provider Business Practice Location Address Fax Number:
407-545-4289
Provider Enumeration Date:
02/27/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
JAMES
Authorized Official First Name:
TARYN
Authorized Official Middle Name:
K
Authorized Official Title or Position:
UR SPECIALIST
Authorized Official Telephone Number:
407-590-2971

Provider Taxonomy Codes

  • Taxonomy code: 302F00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)