Fields, Thomas D

Fields, Thomas D is an individual health care provider with primary practice located at 1223 Gateway Drive , Melbourne FL 32901-2607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Fields, Thomas D can be contacted via phone (321) 725-4500.

Contact Information

Primary practice address
1223 Gateway Drive Melbourne FL 32901-2607
Phone: (321) 725-4500
Fax: (321) 768-0039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME39559 Florida

Profile Details

NPI number 1144211186
LBN Legal business name Fields, Thomas D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated May 13th, 2011 - about 14 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 1144211186 NPPES
Florida Other P00382948 RR MEDICARE
Florida MEDICAID 042571100 RR MEDICARE

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