Individual
THOMAS RICHARD OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1604 S.E. 3RD AVE., GAINESVILLE, FL 32641
(352) 548-1800
Mailing address
1604 S.E. 3RD AVE., GAINESVILLE, FL 32641
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5148178
FL
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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