Individual
DR. JAMES L AUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1302 N LAWNWOOD CIR, FORT PIERCE, FL 34950-4806
(772) 337-3700
(619) 415-8099
Mailing address
7548 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-1450
(772) 466-1091
(619) 415-8099
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
ME43580
FL
207Y00000X
Otolaryngology Physician
ME43580
FL
207YS0012X
Sleep Medicine (Otolaryngology) Physician
ME43580
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047112700
—
FL
Enumeration date
05/04/2006
Last updated
03/18/2024
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