Provider Demographics
NPI:1093317737
Name:JAMES A. DOWNEY, MD, PA
Entity Type:Organization
Organization Name:JAMES A. DOWNEY, MD, PA
Other - Org Name:SPROUTS PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:904-463-2830
Mailing Address - Street 1:1851 GOLDEN EAGLE WAY STE 36
Mailing Address - Street 2:
Mailing Address - City:FLEMING ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32003-4334
Mailing Address - Country:US
Mailing Address - Phone:904-568-4061
Mailing Address - Fax:
Practice Address - Street 1:1851 GOLDEN EAGLE WAY STE 36
Practice Address - Street 2:
Practice Address - City:FLEMING ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32003-4334
Practice Address - Country:US
Practice Address - Phone:904-375-9724
Practice Address - Fax:833-638-0238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty