Provider Demographics
NPI:1619915436
Name:WARD, JAMES WILLIAM JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WILLIAM
Last Name:WARD
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2699
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32513-2699
Mailing Address - Country:US
Mailing Address - Phone:850-475-4500
Mailing Address - Fax:850-475-4619
Practice Address - Street 1:7720 US HIGHWAY 98 W
Practice Address - Street 2:350
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32550-7230
Practice Address - Country:US
Practice Address - Phone:850-267-1603
Practice Address - Fax:850-267-1862
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2010-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME65337207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL260162100Medicaid
FL260162100Medicaid
FL51647Medicare ID - Type Unspecified