Wise, Thomas G.

Wise, Thomas G. is an individual health care provider with primary practice located at 2850 Morningside Dr , Mount Dora FL 32757-6610. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wise, Thomas G. can be contacted via phone (352) 383-0733.

Contact Information

Primary practice address
2850 Morningside Dr Mount Dora FL 32757-6610
Fax: (352) 383-7112
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME36379 Florida

Profile Details

NPI number 1588623839
LBN Legal business name Wise, Thomas G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 2nd, 2010 - about 16 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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