Provider Demographics
NPI:1013904697
Name:JAMES, STEPHEN B (DO)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:B
Last Name:JAMES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:33 RIO VISTA DR
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-6423
Mailing Address - Country:US
Mailing Address - Phone:678-521-7064
Mailing Address - Fax:678-550-9990
Practice Address - Street 1:2090 SARNO RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-3077
Practice Address - Country:US
Practice Address - Phone:321-608-8890
Practice Address - Fax:321-608-8888
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA050385207XS0117X
FLOS13758207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAF33211Medicare UPIN
GA20BBFGTMedicare PIN