Basic Information
| Provider Information | |||||||||
| NPI: | 1346207941 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JAMES | ||||||||
| FirstName: | ANTHONY | ||||||||
| MiddleName: | REID | ||||||||
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| Credential: | P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 15349 | ||||||||
| Address2: | |||||||||
| City: | TALLAHASSEE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 323175349 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8503833300 | ||||||||
| FaxNumber: | 8503833497 | ||||||||
| Practice Location | |||||||||
| Address1: | 1491 GOVERNORS SQUARE BLVD | ||||||||
| Address2: | |||||||||
| City: | TALLAHASSEE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 323013049 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8503833300 | ||||||||
| FaxNumber: | 8503833497 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/27/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | PA 1715 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.