Doctor Name: | DR. DANIEL R THOMAS |
NPI Number: | 1740375005 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO, MS |
License Number: | OS7406 |
Business Practice Address: | 346 Dora Drawdy Way Mount Dora, FL - 327575593 |
Business Phone Number: | 4077290923 |
Business Fax Number: | |
Mailing Address: | 706 Canadice Lane, WINTER SPRINGS |
State: | FL |
Postal Code: | 327085520 |
Phone Number: | 4076028516 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 06/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS7406 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |