Individual
JAMES A BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 N ALEXANDER ST, PLANT CITY, FL 33563-4303
(813) 757-1200
Mailing address
15206 KESTRELCREST CT, LITHIA, FL 33547-4817
(813) 447-7594
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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