Basic Information
Provider Information
NPI: 1336117613
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAXON
FirstName: JAMES
MiddleName: R
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 616788
Address2:  
City: ORLANDO
State: FL
PostalCode: 328616788
CountryCode: US
TelephoneNumber: 4074474283
FaxNumber: 3527537567
Practice Location
Address1: 8485 SE 165TH MULBERRY LN
Address2:  
City: THE VILLAGES
State: FL
PostalCode: 321625847
CountryCode: US
TelephoneNumber: 3527534795
FaxNumber: 3527537567
Other Information
ProviderEnumerationDate: 03/10/2006
LastUpdateDate: 11/19/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XME114361FLY Allopathic & Osteopathic PhysiciansInternal Medicine 

ID Information
IDTypeStateIssuerDescription
FS357904601FLDEAOTHER
ME11436101FLMEDICAL LICENSEOTHER


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