Provider Demographics
NPI:1427062983
Name:TRICE, JAMES M III (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:TRICE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1691 MICHIGAN AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2561
Mailing Address - Country:US
Mailing Address - Phone:305-538-3828
Mailing Address - Fax:305-538-1979
Practice Address - Street 1:1691 MICHIGAN AVE STE 300
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2561
Practice Address - Country:US
Practice Address - Phone:305-305-5383
Practice Address - Fax:305-538-1979
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME71400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2549298-00Medicaid
FL32366Medicare UPIN
FL2549298-00Medicaid