Individual
JAMES BEN RENFROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 GULF BREEZE PKWY STE 300, GULF BREEZE, FL 32561-4458
(850) 932-5055
(850) 932-1401
Mailing address
PO BOX 280, GULF BREEZE, FL 32562-0280
(850) 932-5055
(850) 932-1404
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME66614
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009946965
—
AL
01
—
25636
BCBS
FL
05
—
375641600
—
FL
Enumeration date
08/10/2005
Last updated
01/23/2024
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