Provider Demographics
NPI:1982855599
Name:JAMES, ERIC R (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:R
Last Name:JAMES
Suffix:
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 1:10141 BIG BEND RD STE 206
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-7422
Mailing Address - Country:US
Mailing Address - Phone:813-397-1274
Mailing Address - Fax:813-397-1271
Practice Address - Street 1:10141 BIG BEND RD STE 206
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-7422
Practice Address - Country:US
Practice Address - Phone:813-397-1274
Practice Address - Fax:813-397-1271
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP5279207XX0004X
FLME118449207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010838100Medicaid
FL010838100Medicaid