Provider Demographics
NPI:1801197520
Name:PROCE, JAMES DOMONIC (RN, BS, MS, ARNP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:DOMONIC
Last Name:PROCE
Suffix:
Gender:M
Credentials:RN, BS, MS, ARNP
Other - Prefix:
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Mailing Address - Street 1:8825 CYPRESS PRESERVE PL
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912-0829
Mailing Address - Country:US
Mailing Address - Phone:239-936-0303
Mailing Address - Fax:
Practice Address - Street 1:7331 GLADIOLUS DR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-5101
Practice Address - Country:US
Practice Address - Phone:239-437-8810
Practice Address - Fax:239-437-8875
Is Sole Proprietor?:No
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP2860792363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner