Provider Demographics
NPI:1740214386
Name:TURNER, NUMA FLETCHER III (MD)
Entity Type:Individual
Prefix:DR
First Name:NUMA
Middle Name:FLETCHER
Last Name:TURNER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1955 US HIGHWAY 1 S
Mailing Address - Street 2:VETERAN'S ADMINISTRATION OUTPATIENT CLINIC
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-3708
Mailing Address - Country:US
Mailing Address - Phone:904-494-0814
Mailing Address - Fax:
Practice Address - Street 1:1955 U.S. 1 SOUTH
Practice Address - Street 2:VETERAN'S ADMINISTRATION OUTPATIENT CLINIC
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086
Practice Address - Country:US
Practice Address - Phone:904-494-0814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90322207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLVA000Medicare UPIN