BRIAN C JAMES MD PA
Psychiatric at Mckenzie St, Punta Gorda, FL

License number
Florida ME68542
Category
Psychiatric
Type
Interventional Pain Medicine
Owner
Name: MICHELLE LEE SMITH
Title: OFFICE MANAGER
Phone: (941) 926-2290
Address
Address 2
150 W Mckenzie St STE 114, Punta Gorda, FL 33950
3920 Bee Ridge Rd Building E STE F, Sarasota, FL 34233
National Provider ID: 1407032626
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRIAN C. JAMES, M.D., PA

3920 Bee Rdg Rd BUILDING E SUITE F, Sarasota, FL 34233

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
May 29, 1997
Inactive since:
Oct 21, 2004
State ID:
P97000048008
Business type:
Florida Profit Corporation
Director:
Brian C James (Director), 4011 Shell Rd, Sarasota, FL 34242 (Physical)
Agent:
Brian James,3920 Bee Rdg Rd, Sarasota, FL 34233 (Physical)
EIN:
593460770

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