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Individual

JAMES BISHOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2352 BRUCE B DOWNS BLVD # 102, WESLEY CHAPEL, FL 33544
(813) 979-0440
Mailing address
1302 LAKE LUCERNE WAY APT 304, BRANDON, FL 33511-2262
(239) 994-1578

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9111387
FL

Other

Enumeration date
07/18/2018
Last updated
08/27/2018
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