Individual
JAMES MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
(904) 826-4700
(800) 536-8431
Mailing address
1 ORTHOPAEDIC PL, ST AUGUSTINE, FL 32086-4202
(904) 825-0540
(904) 825-2490
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA1762
FL
363AM0700X
Medical Physician Assistant
Primary
PA1762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00252173
RAILROAD MEDICARE
FL
Enumeration date
05/25/2006
Last updated
04/18/2011
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