Park, Thomas M

Park, Thomas M is an individual health care provider with primary practice located at 3334 Capital Medical Blvd Ste. 400, Tallahassee FL 32308-8405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Park, Thomas M can be contacted via phone (850) 877-8174.

Contact Information

Primary practice address
3334 Capital Medical Blvd Ste. 400 Tallahassee FL 32308-8405
Phone: (850) 877-8174
Fax: (850) 877-5636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME85708 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 056205 Georgia

Profile Details

NPI number 1952304792
LBN Legal business name Park, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jan 3rd, 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 1952304792 NPPES
Georgia MEDICAID 000962739A
Georgia MEDICAID 264968300
Georgia MEDICAID 000962739B

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