Individual
THOMAS TAYLOR FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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