O'Brien, Thomas W

O'Brien, Thomas W is an sole proprietor health care provider with primary practice located at 1121 N Central Ave Suite B, Kissimmee FL 34741-4405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. O'Brien, Thomas W can be contacted via phone (407) 933-1221.

Contact Information

Primary practice address
1121 N Central Ave Suite B Kissimmee FL 34741-4405
Phone: (407) 933-1221
Fax: (407) 933-0747
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 0056928 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 0056928 Florida

Profile Details

NPI number 1396700803
LBN Legal business name O'Brien, Thomas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2006
Last updated Feb 9th, 2018 - about 8 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 1396700803 NPPES
Florida MEDICAID 52669000

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