Provider Demographics
NPI:1164522983
Name:JAMES B FLOREY MD & EUGENIA P GARY MD INC
Entity Type:Organization
Organization Name:JAMES B FLOREY MD & EUGENIA P GARY MD INC
Other - Org Name:JAMES B FLOREY MD INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:FLOREY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-297-4191
Mailing Address - Street 1:3413 STAGE COACH DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-1817
Mailing Address - Country:US
Mailing Address - Phone:925-297-4191
Mailing Address - Fax:510-268-1227
Practice Address - Street 1:949 MORAGA RD
Practice Address - Street 2:SUITE 3
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4593
Practice Address - Country:US
Practice Address - Phone:925-283-8336
Practice Address - Fax:925-283-1877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC36748207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty