Individual
JAMES FISH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
160 NW 13TH ST, HOMESTEAD, FL 33030-4228
(786) 243-8000
Mailing address
PO BOX 863997, ORLANDO, FL 32886-3997
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS0005528
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80054
BCBS
FL
Enumeration date
04/20/2006
Last updated
07/09/2007
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