Individual
JAMES V. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 WINDERLEY PL STE 115, MAITLAND, FL 32751-7406
(407) 581-9180
(865) 560-7066
Mailing address
500 WINDERLEY PL STE 115, MAITLAND, FL 32751-7406
(407) 581-9180
(865) 560-7066
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN2758502
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3055892 00
—
FL
01
—
G3313
BCBS
FL
01
—
P00046578
RAILROAD MEDICARE
—
01
—
XXX-XX-4464
TRICARE (SOUTH REGION)
—
Enumeration date
07/25/2006
Last updated
08/20/2019
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