Provider Demographics
NPI:1881795979
Name:KAYE, JAMES H (DO)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:H
Last Name:KAYE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1890 LPGA BLVD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32117-7130
Mailing Address - Country:US
Mailing Address - Phone:386-274-2212
Mailing Address - Fax:386-274-1508
Practice Address - Street 1:1890 LPGA BLVD
Practice Address - Street 2:SUITE 130
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-7130
Practice Address - Country:US
Practice Address - Phone:386-274-2212
Practice Address - Fax:386-274-1508
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2012-09-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS3810207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCV193XMedicare PIN
FLCV193YMedicare PIN
FLCV193ZMedicare UPIN