1063679173

Everything you always wanted to know about MR. KNOX THOBURN JAMES JR. ARNP but were afraid to ask.

MR. KNOX THOBURN JAMES JR. ARNP

You can also download the this 1063679173 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Suffix Provider Credential
MR. KNOX THOBURN JAMES JR. ARNP
Gender:
Male
Enumeration date:
2008-05-18
Last update date:
2013-07-03
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
363LP0200X Pediatrics FL ARNP1971252 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2393347911
Practice Location Address Telephone Number 2393347911
Mailing Address Fax Number 2393346961
Practice Location Address Fax Number 2393346961

Addresses

Type Address City State Postal Country
Mailing Address 3714 EVANS AVE FORT MYERS FL 33901 FL
Practice Location Address 3714 EVANS AVE FORT MYERS FL 33901 FL

Other NPI Records that share an address

NPI Name Address State City
1508125170 KENNETH A. BERDICK, M.D., P.A.
Organization
3714 EVANS AVE FL FORT MYERS
1720063993 BERDICK, KENNETH
Individual
3714 EVANS AVE FL FORT MYERS