Individual
DR. JAMES A DERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2190 HIGHWAY 85 N, NICEVILLE, FL 32578-1045
(850) 678-4181
(850) 729-9418
Mailing address
457 RUCKEL DR, NICEVILLE, FL 32578-1782
(850) 496-3096
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME80573
FL
207Q00000X
Family Medicine Physician
ME80573
FL
208M00000X
Hospitalist Physician
Primary
ME80573
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059185372
BCBS AL
AL
01
—
059185483
BCBS AL
AL
05
—
259858200
—
FL
01
—
51635
BC/BS FL
FL
01
—
97861
BCBS FL
FL
Enumeration date
11/09/2005
Last updated
05/09/2023
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