Gaddis, Thomas G

Gaddis, Thomas G is an individual health care provider with primary practice located at 1375 Roberts Dr Suite 103, Jacksonville Beach FL 32250-3210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gaddis, Thomas G can be contacted via phone (904) 997-3800.

Contact Information

Primary practice address
1375 Roberts Dr Suite 103 Jacksonville Beach FL 32250-3210
Phone: (904) 997-3800
Fax: (904) 997-3899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME 54888 Florida

Profile Details

NPI number 1346245768
LBN Legal business name Gaddis, Thomas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 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 1346245768 NPPES
Florida Other 10828 BCBS
Florida MEDICAID 271557100 BCBS
Florida Other 212514 BCBS
Florida Other 4668181 BCBS

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