Thomas, Benjamin John
Thomas, Benjamin John is an individual health care provider with primary practice located at 8786 Perimeter Park Blvd , Jacksonville FL 32216-6347. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Thomas, Benjamin John can be contacted via phone (904) 997-9202.Contact Information
Primary practice address
8786 Perimeter Park Blvd
Jacksonville FL 32216-6347
Phone: (904) 997-9202
Fax: (904) 997-9205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 75932 | Georgia |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | ME127512 | Florida |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 75932 | Georgia |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME127512 | Florida |
Profile Details
| NPI number | 1427290360 |
|---|---|
| LBN Legal business name | Thomas, Benjamin John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2009 |
| Last updated | Apr 20th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427290360 | NPPES |
| Florida | MEDICAID | 017147700 | |
| Florida | MEDICAID | 003177316A |
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