Provider Demographics
NPI:1114129749
Name:MCGRAW, JAMES PATRICK III (MPAS, PA)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PATRICK
Last Name:MCGRAW
Suffix:III
Gender:M
Credentials:MPAS, PA
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:508 SW 29TH AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-1158
Mailing Address - Country:US
Mailing Address - Phone:404-993-9820
Mailing Address - Fax:813-738-0200
Practice Address - Street 1:120 STATE ST E STE 104
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-3647
Practice Address - Country:US
Practice Address - Phone:813-556-7440
Practice Address - Fax:813-738-0200
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363AM0700X
FLPA9116801363AM0700X
GA003547363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty