Provider Demographics
NPI:1437220597
Name:JAMES J BYRNES MD PA
Entity Type:Organization
Organization Name:JAMES J BYRNES MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BYRNES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-272-5373
Mailing Address - Street 1:237 GEORGE BUSH BLVD
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-4034
Mailing Address - Country:US
Mailing Address - Phone:561-272-5373
Mailing Address - Fax:561-272-5246
Practice Address - Street 1:237 GEORGE BUSH BLVD
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-4034
Practice Address - Country:US
Practice Address - Phone:561-272-5373
Practice Address - Fax:561-272-5246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0057562207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D16064Medicare UPIN
FL11251TMedicare ID - Type Unspecified
FL45399Medicare ID - Type Unspecified