Fischer, Thomas R

Fischer, Thomas R is an individual health care provider with primary practice located at 441 Nw Prima Vista Blvd., , Port Saint Lucie FL 34983. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fischer, Thomas R can be contacted via phone (772) 873-8980.

Contact Information

Primary practice address
441 Nw Prima Vista Blvd., Port Saint Lucie FL 34983
Phone: (772) 873-8980
Fax: (772) 873-8981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT6130 Florida

Profile Details

NPI number 1134269236
LBN Legal business name Fischer, Thomas R
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Mar 13th, 2012 - about 13 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 1134269236 NPPES
Florida Other Y917Z BCBS
Florida MEDICAID 889015300 BCBS

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