Doctor Name: | DR. THOMAS FRANCIS RENNY |
NPI Number: | 1194938639 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS9142 |
Business Practice Address: | 9512 Woodland Ridge Dr Temple Terrace, FL - 336374951 |
Business Phone Number: | 8139899962 |
Business Fax Number: | |
Mailing Address: | 9512 Woodland Ridge Drive, TEMPLE TERRACE |
State: | FL |
Postal Code: | 336370000 |
Phone Number: | 8139899962 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS9142 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |