Organization Name: | DR. DANIEL THOMAS, INC. |
NPI Number: | 1770939555 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL THOMAS (PRESIDENT) |
Mailing Address: | 346 Dora Drawdy Way Mount Dora |
State: | FL US |
Postal Code: | 327575593 |
Phone Number: | 3527290923 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2016 |
NPI Last Update Date: | 05/11/2016 |
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: |