Individual
DR. JAMES JEROME MAHONEY JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 DOUGLAS CIR, BMA DIALYSIS 1122 KEYS PLAZA, KEY WEST, FL 33040-4536
(305) 797-0303
Mailing address
3112 WINCHESTER DR, COCOA, FL 32926-5860
(305) 797-0303
(305) 293-4813
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME20354
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01196
BLUE SHIELD
FL
Enumeration date
05/11/2006
Last updated
07/21/2022
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