Individual
JAMES PATRICK TAKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
540 THE RIALTO, VENICE, FL 34285-2900
(941) 485-7711
Mailing address
600 NOKOMIS AVE S STE 207, VENICE, FL 34285-3209
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
154824
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
23463
NV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
7574
SD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
S8498
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1O3408
MEDICARE
TX
05
—
419863201
—
TX
05
—
419863202
—
TX
01
—
CVD8TX
MEDICARE
TX
01
—
P02604468
MCRR
TX
Enumeration date
12/22/2005
Last updated
05/17/2023
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