Individual
JOANNE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 WILES RD STE 201, COCONUT CREEK, FL 33073-3414
(954) 943-1133
Mailing address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-1250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115262
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2020
Last updated
01/13/2022
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