Park, Thomas

Park, Thomas is an sole proprietor health care provider with primary practice located at 1600 Sw Archer Rd # 100277 , Gainesville FL 32610. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Park, Thomas can be contacted via phone (314) 362-5000.

Contact Information

Primary practice address
1600 Sw Archer Rd # 100277 Gainesville FL 32610
Phone: (314) 362-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME136283 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2015019699 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MTL-2024-024 Guam
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X M-2458 Guam

Profile Details

NPI number 1619359288
LBN Legal business name Park, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2015
Last updated Nov 20th, 2024 - about 2 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 1619359288 NPPES
Florida MEDICAID 100000300

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