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NPI Code Detail

MEDICARE: PERRY THOMAS

MEDICARE:   PERRY  THOMAS
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
1227800000XCertified Respiratory Therapist2274FL

General Provider Information

NPI Number : 1215202916
Entity Type Code : Individual
Provider Name (Legal Business Name) : PERRY THOMAS
Provider Business Mailing Address
First Line : 630 COUNTY HIGHWAY 147 W
Second Line :
City : LAUREL HILL
State : FL
Zip : 32567-3233
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 630 COUNTY HIGHWAY 147 W
Second Line :
City : LAUREL HILL
State : FL
Zip : 32567-3233
Country : US
Telephone Number : 850-834-4961
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2012
Last Update Date : 03/13/2012

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Directions to “ PERRY THOMAS ” Practice Location

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