Organization
JAMES J NELSON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES J NELSON MD (PRESIDENT)
(352) 339-6212
Entity
Organization
Contact information
Practice address
3720 NW 83RD ST, GAINESVILLE, FL 32606-5603
(352) 336-3050
(352) 337-2571
Mailing address
4621 NW 71ST BLVD, GAINESVILLE, FL 32606-3947
(352) 339-6212
(352) 337-2571
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0029079
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036588200
—
FL
Enumeration date
04/26/2006
Last updated
07/26/2011
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