Individual
MR. JAMES BRYANT DIVINCENZO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3003 26TH ST W, BRADENTON, FL 34205-3739
(941) 753-1234
(941) 755-1332
Mailing address
3003 26TH ST W, BRADENTON, FL 34205-3739
(941) 753-1234
(941) 755-1332
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P01671
FL
Other
Enumeration date
02/28/2006
Last updated
07/08/2007
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