Provider Demographics
NPI:1639171358
Name:CAIN, JAMES L (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:L
Last Name:CAIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2050 40TH AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960
Mailing Address - Country:US
Mailing Address - Phone:772-564-0175
Mailing Address - Fax:772-770-1171
Practice Address - Street 1:2050 40TH AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960
Practice Address - Country:US
Practice Address - Phone:772-564-0175
Practice Address - Fax:772-770-1171
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2011-05-10
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Provider Licenses
StateLicense IDTaxonomies
FLME 0177629207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL052808100Medicaid
FL71901OtherBC BS
FLD82540Medicare UPIN
FL052808100Medicaid
FL71901ZMedicare PIN