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Individual
JAMES IVEY
Active
Individual
JAMES IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0011709
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055771400
—
FL
01
—
12785
BC
FL
01
—
ME0011709
MEDICAL LICENSE
FL
Enumeration date
07/11/2006
Last updated
09/06/2011
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