Provider Demographics
NPI:1437183019
Name:WASHBURN, JAMES WARREN (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:WARREN
Last Name:WASHBURN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2804 W MARC KNIGHTON CT
Mailing Address - Street 2:VA CLINIC
Mailing Address - City:LECANTO
Mailing Address - State:FL
Mailing Address - Zip Code:34461-6300
Mailing Address - Country:US
Mailing Address - Phone:352-746-8000
Mailing Address - Fax:352-746-8002
Practice Address - Street 1:2804 W MARC KNIGHTON CT
Practice Address - Street 2:VA CLINIC
Practice Address - City:LECANTO
Practice Address - State:FL
Practice Address - Zip Code:34461-6300
Practice Address - Country:US
Practice Address - Phone:352-746-8000
Practice Address - Fax:352-746-8002
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY6510A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine