Individual
THOMAS TAYLOR FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME70634
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009962800
—
AL
01
—
050049613
MEDICARE RAILROAD
FL
01
—
31866
BLUE CROSS BLUE SHIELD
FL
05
—
379978600
—
FL
01
—
591-36248
BLUE CROSS BLUE SHIELD
AL
01
—
Z188
HEALTH FIRST NETWORK
FL
Enumeration date
12/30/2005
Last updated
11/14/2011
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