Individual
MR. JAMES CHARLES STEWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 315-4299
Mailing address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 315-4299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-082015
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 9285893
FL
367500000X
Certified Registered Nurse Anesthetist
R876497
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008414100
—
FL
Enumeration date
01/23/2007
Last updated
06/21/2013
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