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Individual

DR. THOMAS DANIEL BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD FACS

Contact information

Practice address
911 MAR WALT DR, FORT WALTON BEACH, FL 32547-6705
(850) 862-4001
(850) 862-1612
Mailing address
1034 MAR WALT DR UNIT 200, FORT WALTON BEACH, FL 32547-6637
(850) 862-4001
(850) 862-1612

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
16937
SC
207W00000X
Ophthalmology Physician
26182
NC
207W00000X
Ophthalmology Physician
78997
GA
207W00000X
Ophthalmology Physician
MD0000048004
TN
207W00000X
Ophthalmology Physician
Primary
ME107366
FL

Other

Enumeration date
01/10/2006
Last updated
11/06/2023
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