Individual
SHAWN WAYNE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 CLYDE MORRIS BLVD STE C, ORMOND BEACH, FL 32174-5909
(386) 673-5100
(386) 673-6014
Mailing address
300 CLYDE MORRIS BLVD STE C, ORMOND BEACH, FL 32174-5909
(386) 673-5100
(386) 673-6014
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0S013305
PA
208800000X
Urology Physician
2603
WV
208800000X
Urology Physician
Primary
OS10348
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000282900
—
FL
05
—
3810024050
—
WV
Enumeration date
06/22/2007
Last updated
09/03/2025
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