Davis, Thomas S

Davis, Thomas S is an individual health care provider with primary practice located at 2 Shircliff Way Ste 800, Jacksonville FL 32204-4751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Davis, Thomas S can be contacted via phone (904) 388-2619.

Contact Information

Primary practice address
2 Shircliff Way Ste 800 Jacksonville FL 32204-4751
Phone: (904) 388-2619
Fax: (904) 388-0240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME 92693 Florida

Profile Details

NPI number 1710982822
LBN Legal business name Davis, Thomas S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jun 6th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710982822 NPPES
Florida Other 299126 AVMED
Florida MEDICAID 272581900 AVMED
Florida Other 7917565 AVMED
Florida Other 16027 AVMED
Florida MEDICAID 266033656A AVMED

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