Doris, Gerard Thomas
Doris, Gerard Thomas is an sole proprietor health care provider with primary practice located at 3409 Nottingham Ct Apt 252 , Tampa FL 33614-4687. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as his primary health care specialty. Doris, Gerard Thomas can be contacted via phone (813) 365-2494.Contact Information
Primary practice address
3409 Nottingham Ct Apt 252
Tampa FL 33614-4687
Phone: (813) 365-2494
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X |
Profile Details
| NPI number | 1508337676 |
|---|---|
| LBN Legal business name | Doris, Gerard Thomas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2018 |
| Last updated | Dec 16th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508337676 | NPPES |
| Florida | MEDICAID | 83-2319791 |
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