Individual
DR. JAMES MARK STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
601 UNIVERSITY BLVD, SUITE 102 101, JUPITER, FL 33458-7816
(561) 748-2297
(561) 748-2298
Mailing address
601 UNIVERSITY BLVD., SUITE 102 101, JUPITER, FL 33458-7816
(561) 748-9212
(561) 748-2298
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS0005380
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052234100
—
FL
01
—
OS0005380
LICENSE NUMBER
FL
Enumeration date
06/30/2006
Last updated
07/08/2007
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