Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

James Eldridge Blaine III

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790425619

James Eldridge Blaine III is a Student in an Organized Health Care Education/Training Program in Orange Park, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2001 Kingsley Ave
Orange Park, FL 32073-5156
Phone: (904) 639-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1790425619
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESMarch 30, 2022
Certification dateMarch 30, 2022
Mailing address2001 Kingsley Ave, Orange Park, FL 32073-5156

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