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Individual

DR. THOMAS FERGUS MACMAHON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9370 SUNSET DR, SUITE A-250, MIAMI, FL 33173-5431
(305) 595-4510
Mailing address
PO BOX 840207, PEMBROKE PINES, FL 33084-2207
(305) 595-4510

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME45543
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
96725
BCBS
FL
Enumeration date
12/09/2005
Last updated
07/08/2007
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