Stanley, Thomas Paul

Stanley, Thomas Paul is an individual health care provider with primary practice located at 2606 Park St. , Jacksonville FL 32204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Stanley, Thomas Paul can be contacted via phone (904) 388-4646.

Contact Information

Primary practice address
2606 Park St. Jacksonville FL 32204
Phone: (904) 388-4646
Fax: (904) 388-9017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME 0057822 Florida

Profile Details

NPI number 1114998010
LBN Legal business name Stanley, Thomas Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Apr 22nd, 2021 - about 4 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 1114998010 NPPES
Florida MEDICAID 0643840-00

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