Individual
DR. JAMES L CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
ME92995
FL
207YS0123X
Facial Plastic Surgery Physician
Primary
MD205818
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
256408YKEN
MEDICARE PTAN
LA
05
—
2728320000
—
FL
Enumeration date
12/16/2005
Last updated
11/13/2025
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