Organization
JAMES N ENDICOTT MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES N ENDICOTT MD (CEO)
(727) 551-0800
Entity
Organization
Contact information
Practice address
555 4TH AVE S, SAINT PETERSBURG, FL 33701-4428
(727) 551-0800
(727) 551-0801
Mailing address
555 4TH AVE S, SAINT PETERSBURG, FL 33701-4428
(727) 551-0800
(727) 551-0801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME13593
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0394645
—
FL
Enumeration date
11/14/2011
Last updated
11/14/2011
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