Provider Demographics
NPI:1598775918
Name:FOX, JAMES J (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:FOX
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1540 S TAMIAMI TRL
Mailing Address - Street 2:SUITE 401
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2921
Mailing Address - Country:US
Mailing Address - Phone:941-917-0060
Mailing Address - Fax:941-316-9216
Practice Address - Street 1:1540 S TAMIAMI TRL
Practice Address - Street 2:SUITE 401
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2921
Practice Address - Country:US
Practice Address - Phone:941-917-0060
Practice Address - Fax:941-316-9216
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0062514207RC0000X
FLME62514207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2505460OtherUNITED HEALTH CARE
FL060030853OtherRAILROAD MEDICARE
FL15229OtherBLUE CROSS
FL25635OtherWELLCARE
FL371418700Medicaid
FL3459749001OtherCIGNA
FL626028OtherAETNA
FL205944OtherAVMED
FLF35587Medicare UPIN
FL15229YMedicare ID - Type Unspecified