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NPI Code Detail

MEDICARE: MR. THOMAS C. GREENMAN

MEDICARE: MR. THOMAS C. GREENMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMHC1478FL

General Provider Information

NPI Number : 1073688644
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS C. GREENMAN
Provider Business Mailing Address
First Line : 434 KENNEDY BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32810-6237
Country : US
Telephone Number : 407-875-3700
Fax Number : 407-292-8645
Provider Business Practice Location Address
First Line : 434 KENNEDY BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32810-6237
Country : US
Telephone Number : 407-875-3700
Fax Number : 407-292-8645
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 07/08/2007

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