Individual
JAMES FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5016 W CYPRESS ST STE 200A, TAMPA, FL 33607
(813) 530-4592
(813) 392-1930
Mailing address
PO BOX 25317, TAMPA, FL 33622-5317
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
02004699A
IN
207VX0201X
Gynecologic Oncology Physician
34.005939F
OH
207VX0201X
Gynecologic Oncology Physician
Primary
OS15508
FL
207VX0201X
Gynecologic Oncology Physician
TL36735
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0974941
—
OH
Enumeration date
03/07/2006
Last updated
08/10/2018
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