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Individual

JAMES A BARTLETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME106634
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003699200
FL
01
14CU0
BLUE CROSS
FL
01
FA320Z
MEDICARE PTAN
FL
Enumeration date
05/07/2008
Last updated
11/15/2011
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