Individual
JAMES M. RONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8725 N WICKHAM RD, MELBOURNE, FL 32940-2239
(321) 434-9265
(321) 434-9264
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-9265
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME50860
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049656100
—
FL
01
—
07500Z
MEDICARE HF
FL
01
—
P01164189
RR MEDICARE
FL
Enumeration date
12/07/2005
Last updated
12/05/2024
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