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Individual

DR. JAMES EDWARD RENEHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2000 CENTRE POINTE BLVD, TALLAHASSEE, FL 32308-4894
(850) 309-0400
(850) 201-0591
Mailing address
12109 COUNTY ROAD 103, OXFORD, FL 34484
(352) 205-8981

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME 104702
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001387800
FL
Enumeration date
04/11/2006
Last updated
03/15/2021
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