Davison, Thomas M

Davison, Thomas M is an individual health care provider with primary practice located at 305 E Brandon Blvd , Brandon FL 33511-5222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Davison, Thomas M can be contacted via phone (813) 978-9700.

Contact Information

Primary practice address
305 E Brandon Blvd Brandon FL 33511-5222
Fax: (813) 972-5055
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME34915 Florida

Profile Details

NPI number 1912903204
LBN Legal business name Davison, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Oct 12th, 2017 - about 7 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 1912903204 NPPES
Florida Other 62215 BCBS OF FL
Florida Other 4251405 BCBS OF FL
Florida Other 200030849 BCBS OF FL
Florida Other 225368 BCBS OF FL
Florida MEDICAID 274262400 BCBS OF FL
Florida Other 5227264 BCBS OF FL

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