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Individual

DR. JAMES A. STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1480 TIMBERLANE RD, TALLAHASSEE, FL 32312-1713
(850) 893-4005
(850) 893-9987
Mailing address
1480 TIMBERLANE RD, TALLAHASSEE, FL 32312-1713
(850) 893-4005
(850) 893-9987

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 935
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19482
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/12/2006
Last updated
07/08/2007
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