Organization
PHYSICIAN CORRECTIONAL USA (IN), LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RICHARD MARTIN MPSA, CCHP (CHIEF OPERATING OFFICER)
(812) 499-3023
Entity
Organization
Contact information
Practice address
3500 N HARLAN AVE, EVANSVILLE, IN 47711-2336
(812) 421-6200
Mailing address
1650 SE 17TH ST STE 408, FORT LAUDERDALE, FL 33316-1740
(812) 499-3023
(207) 419-6186
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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