Provider Demographics
NPI:1740381375
Name:STURGILL, JAMES BECKHAM (PT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:BECKHAM
Last Name:STURGILL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5617 MANDARIN CT
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33896-5003
Mailing Address - Country:US
Mailing Address - Phone:407-334-7184
Mailing Address - Fax:
Practice Address - Street 1:19 N 6TH ST STE A
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-4205
Practice Address - Country:US
Practice Address - Phone:863-421-4440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT8360225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist