Ervin, Thomas J

Ervin, Thomas J is an individual health care provider with primary practice located at Po Box 517 , Boca Grande FL 33921-0517. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ervin, Thomas J can be contacted via phone (941) 964-2276.

Contact Information

Primary practice address
Po Box 517 Boca Grande FL 33921-0517
Phone: (941) 964-2276
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME96965 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME96965 Florida

Profile Details

NPI number 1699746511
LBN Legal business name Ervin, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jul 21st, 2022 - about 3 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 1699746511 NPPES
Florida MEDICAID 276901800
Florida Other 56632

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