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NPI Code Detail

MEDICARE: DR. CHARLES A THOMAN JR. M.D.

MEDICARE:  DR. CHARLES A THOMAN JR. M.D.
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
1208800000XUrology Physician0011360FL
22086H0002XHospice and Palliative Medicine (Surgery) PhysicianME11360FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
205260OTHERFLUNSPECIFIED

General Provider Information

NPI Number : 1518971175
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES A THOMAN JR. M.D.
Provider Business Mailing Address
First Line : 3231 SW 34TH AVE
Second Line : P.O. BOX 4860
City : OCALA
State : FL
Zip : 34474-8489
Country : US
Telephone Number : 352-873-7400
Fax Number : 352-873-7435
Provider Business Practice Location Address
First Line : 3231 SW 34TH AVE.
Second Line :
City : OCALA
State : FL
Zip : 34478-4860
Country : US
Telephone Number : 352-873-7400
Fax Number : 352-873-7435
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 04/18/2016

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Directions to “ DR. CHARLES A THOMAN JR. M.D.” Practice Location

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