Individual
DR. JAMES B OSBORNE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
929 US HWY 441, SUITE 401, LADY LAKE, FL 32159-3002
(352) 751-0981
(352) 751-0984
Mailing address
4881 NW 8TH AVE, SUITE 2, GAINEVILLE, FL 32605-4582
(352) 416-1082
(352) 373-6144
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101253771
VI
208600000X
Surgery Physician
Primary
ME146920
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417136078
—
VA
01
—
P01315276
RAILROAD MEDICARE
VA
Enumeration date
10/31/2007
Last updated
11/16/2020
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