Individual
JAMES FAIRCLOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11375 CORTEZ BLVD, SPRING HILL, FL 34613-5409
(352) 597-3008
(352) 597-3024
Mailing address
13705 PIMBERTON DR, HUDSON, FL 34669-0809
(727) 819-0018
(727) 507-3618
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1836
FL
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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