Individual
JAMES BENJAMIN GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-7283
(407) 303-0347
Mailing address
2501 N ORANGE AVE STE 401, ORLANDO, FL 32804-4644
(407) 303-7283
(407) 303-0475
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35-129794
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME150847
FL
207RP1001X
Pulmonary Disease Physician
35-129794
OH
207RP1001X
Pulmonary Disease Physician
ME127545
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0202459
—
OH
01
—
H469650
MEDICARE TPAN
OH
Enumeration date
04/20/2011
Last updated
11/19/2021
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