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Provider Information for 1194234187

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

JAMES JORDAN HANSHEW

Gender: MALE

Individual NPI: 1194234187

Calendar   Last Updated:  2021-08-25
  Certification Date:  2021-08-25

Details

Name Value
NPI 1194234187
Enumeration Date 2017-09-22
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 27516 CASHFORD CIR STE 101
WESLEY CHAPEL, FL 33544-6910
United States

Phone: 813-406-4400 | Fax: 813-929-6633
View Map External Link
Primary Practice Address 27516 CASHFORD CIR STE 101
WESLEY CHAPEL, FL 33544-6910
United States

Phone: 813-406-4400 | Fax: 813-929-6633
View Map External Link
Secondary Practice Address 6310 FORT KING RD
ZEPHYRHILLS, FL 33542-2531
United States

Phone: 813-406-4400 | Fax: 813-929-6633
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363A00000X - Physician Assistant FL PA9110615