Organization
THOMAS C. CHURCH M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CHURCH (DIRECTOR)
(850) 244-1157
Entity
Organization
Contact information
Practice address
51 YACHT CLUB DR NE, FORT WALTON BEACH, FL 32548-4473
(850) 244-1157
Mailing address
51 YACHT CLUB DR NE, FORT WALTON BEACH, FL 32548-4473
(850) 244-1157
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0016848
FL
Other
Enumeration date
07/22/2006
Last updated
04/12/2010
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