Provider Demographics
NPI:1033262423
Name:FENTON, JAMES L (RN)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:L
Last Name:FENTON
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:2828 S SEACREST BLVD
Mailing Address - Street 2:SUITE 216
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-7944
Mailing Address - Country:US
Mailing Address - Phone:561-395-2117
Mailing Address - Fax:561-395-4551
Practice Address - Street 1:1401 NW 9TH AVE
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-1304
Practice Address - Country:US
Practice Address - Phone:561-395-5733
Practice Address - Fax:561-395-4551
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLRN735192163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse