Individual
THOMAS JOHN HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
45 W CRYSTAL LAKE ST, SUITE 197, ORLANDO, FL 32806-4435
(407) 254-2510
(407) 423-2789
Mailing address
25 W CRYSTAL LAKE ST, SUITE 200, ORLANDO, FL 32806-4475
(407) 254-2500
(407) 423-2789
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9105044
FL
Other
Enumeration date
02/06/2006
Last updated
09/28/2016
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