Provider Demographics
NPI:1821397647
Name:BYRD, JAMES HARRY JR
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:HARRY
Last Name:BYRD
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6003 MURRAY HILL DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-3440
Mailing Address - Country:US
Mailing Address - Phone:813-300-0243
Mailing Address - Fax:
Practice Address - Street 1:2305 E 11TH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33605-4030
Practice Address - Country:US
Practice Address - Phone:813-300-0243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide