Derbes, Thomas J

Derbes, Thomas J is an individual health care provider with primary practice located at 2202 State Ave Ste 101, Panama City FL 32405-4539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Derbes, Thomas J can be contacted via phone (850) 872-1300.

Contact Information

Primary practice address
2202 State Ave Ste 101 Panama City FL 32405-4539
Phone: (850) 872-1300
Fax: (850) 872-1300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME48177 Florida

Profile Details

NPI number 1568450625
LBN Legal business name Derbes, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Oct 3rd, 2017 - about 9 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 1568450625 NPPES
Florida Other 26046 BLUE CROSS BLUE SHIELD
Florida MEDICAID 042840000 BLUE CROSS BLUE SHIELD

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