MEDICARE: THOMAS CHRISTOPHER DEER MD

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
1	207P00000X	Emergency Medicine Physician	ME89857	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	43217	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275511834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS CHRISTOPHER DEER MD

Provider Business Mailing Address
First Line	:	209 N ATLANTIC BLVD APT 17C
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-4339
Country	:	US
Telephone Number	:	954-560-4065
Fax Number	:	954-560-4065

Provider Business Practice Location Address
First Line	:	209 N ATLANTIC BLVD APT 17C
Second Line	:	#200
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-4339
Country	:	US
Telephone Number	:	954-560-4065
Fax Number	:	954-560-4065

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	01/12/2022

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