Individual
MR. JAMES WILLIAM VANFOSSEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
160 NW 170TH ST, NORTH MIAMI BEACH, FL 33169-5576
(305) 651-1100
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601002945
MI
363A00000X
Physician Assistant
PA-1273
AR
363A00000X
Physician Assistant
Primary
PA9118780
FL
Other
Enumeration date
07/27/2006
Last updated
05/13/2024
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