Individual
JAMES H. STEVENS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1026 MAR WALT DR, FT WALTON BEACH, FL 32547-6645
(850) 863-5294
(850) 864-1648
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME0068163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009913035
AL. MCAID PSO PROVIDER #
AL
01
—
009913045
AL. MCAID FWB PROVIDER #
AL
01
—
009913055
AL. MCAID CRO PROV. #
AL
01
—
009948615
AL. MCAID SRB PROVIDER #
AL
01
—
1179761
WELLCARE
FL
05
—
118454 (CRO)
—
AL
05
—
118458 (FWB)
—
AL
05
—
118469 (DSF)
—
AL
05
—
118471 (SRB)
—
AL
01
—
16-01523
UTD. HLTHCR. PROVIDER #
FL
01
—
212959
AVMED
FL
05
—
377888600
—
FL
01
—
5120028
AETNA PROVIDER NUMBER
FL
01
—
8870766-006
CIGNA PROVIDER NUMBER
FL
Enumeration date
09/14/2005
Last updated
05/06/2016
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