Thomas, Roger P.

Thomas, Roger P. is an individual health care provider with primary practice located at 307 E New Haven Ave , Melbourne FL 32901-4576. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Thomas, Roger P. can be contacted via phone (321) 729-8223.

Contact Information

Primary practice address
307 E New Haven Ave Melbourne FL 32901-4576
Phone: (321) 729-8223
Fax: (321) 729-6252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME117289 Florida

Profile Details

NPI number 1760474712
LBN Legal business name Thomas, Roger P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Dec 13th, 2013 - about 12 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 1760474712 NPPES
Florida MEDICAID 009391900

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