Hardin, Thomas Michael

Hardin, Thomas Michael is an individual health care provider with primary practice located at 1555 Kingsley Ave Suite 601, Orange Park FL 32073-4560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hardin, Thomas Michael can be contacted via phone (904) 264-0264.

Contact Information

Primary practice address
1555 Kingsley Ave Suite 601 Orange Park FL 32073-4560
Phone: (904) 264-0264
Fax: (904) 278-0437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS4373 Florida

Profile Details

NPI number 1174542955
LBN Legal business name Hardin, Thomas Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Aug 23rd, 2022 - about 2 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 1174542955 NPPES
Florida MEDICAID 040811500

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