Doris, Gerard Thomas

Doris, Gerard Thomas is an sole proprietor health care provider with primary practice located at 3409 Nottingham Ct Apt 252 , Tampa FL 33614-4687. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as his primary health care specialty. Doris, Gerard Thomas can be contacted via phone (813) 365-2494.

Contact Information

Primary practice address
3409 Nottingham Ct Apt 252 Tampa FL 33614-4687
Phone: (813) 365-2494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1508337676
LBN Legal business name Doris, Gerard Thomas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2018
Last updated Dec 16th, 2018 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508337676 NPPES
Florida MEDICAID 83-2319791

Popular Providers