Prince, Thomas Roy

Prince, Thomas Roy is an individual health care provider with primary practice located at 6101 Lake Ellenor Dr Department Of Health, Womens Services, Orlando FL 32809-4616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Prince, Thomas Roy can be contacted via phone (407) 858-1400.

Contact Information

Primary practice address
6101 Lake Ellenor Dr Department Of Health, Womens Services Orlando FL 32809-4616
Fax: (407) 858-5999
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X ME64430 Florida

Profile Details

NPI number 1811913437
LBN Legal business name Prince, Thomas Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Apr 1st, 2015 - about 10 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 1811913437 NPPES
Florida MEDICAID 267386000

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