Provider Demographics
NPI:1992758494
Name:MADISON, JAMES BUFORD III (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BUFORD
Last Name:MADISON
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8000 RED BUG LAKE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9226
Mailing Address - Country:US
Mailing Address - Phone:407-366-7411
Mailing Address - Fax:407-366-7385
Practice Address - Street 1:8000 RED BUG LAKE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9226
Practice Address - Country:US
Practice Address - Phone:407-366-7411
Practice Address - Fax:407-366-7385
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2007-08-17
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Provider Licenses
StateLicense IDTaxonomies
FLME8729207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL48484OtherBCBS
P00226279OtherRAILROAD MEDICARE
FL48484YMedicare PIN
FL48484OtherBCBS