James Lewis Fenley in Orange City - Addiction Medicine
James Lewis Fenley - NPI 1508819269
James Lewis Fenley is a Addiction Medicine in Orange City, Florida. James Lewis Fenley practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for James Lewis Fenley is 1508819269. The last update date is 2018-08-08.
James Lewis Fenley's current location address is 2583 S Volusia Ave Ste 200, Orange City, Florida. You can contact this provider via phone number 3869607830 and fax number 3869607833. The mailing address for James Lewis Fenley is 2583 S Volusia Ave Ste 200, Orange City, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | James Lewis Fenley |
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Address | 2583 S Volusia Ave Ste 200, Orange City, Florida |
Phone Number | 3869607830 |
Fax Number | 3869607833 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1508819269 |
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Provider Enumeration Date | 2006-05-17 |
Last Updated Date | 2018-08-08 |
Provider Mailing Address Detail
Address | 2583 S Volusia Ave Ste 200 |
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City | Orange City |
State | Florida (FL) |
Post Code | 327639129 |
Phone Number | 3869607830 |
Fax Number | 3869607833 |
Provider's Primary Taxonomy Detail
Speciality | Addiction Medicine |
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Taxonomy | 207Ra0401X |
Licence No | ME127760 |
Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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055002903A | GA | -- | |
11BDLZQ | GA | MEDICARE UNSPEC |
Post Comment/ Review Below
What is the unique provider identifier assigned to James Lewis Fenley?
The James Lewis Fenley has been issued the NPI (National Provider Identifier) 1508819269 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of James Lewis Fenley?
The James Lewis Fenley is situated at 2583 S Volusia Ave Ste 200, in the city of Orange City, state of FL, with the zip code 327639129.
What is the James Lewis Fenley's area of specialization and corresponding taxonomy classification?
The James Lewis Fenley's specialty field is Addiction Medicine, and it falls under the taxonomy code 207Ra0401X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508819269 to James Lewis Fenley?
The Centers for Medicare & Medicaid Services originally issued the 1508819269 to James Lewis Fenley on 2006-05-17.
As of what date were the details related to James Lewis Fenley most recently updated or revised?
The information pertaining to James Lewis Fenley, including its address, specialty, and other relevant details, was last updated or revised on 2018-08-08.