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Individual

DR. THOMAS ERNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2631 NW 41ST ST STE E3, GAINESVILLE, FL 32606-6689
(352) 378-2120
Mailing address
2631 NW 41ST ST STE E3, GAINESVILLE, FL 32606-6689
(352) 378-2120

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 875
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z-2814
BLUE CROSS/BLUE SHIELD OF FLORIDA
FL
Enumeration date
08/28/2012
Last updated
08/28/2012
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