Individual
DR. DAVID RILEY THOMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1400 HAVENDALE BLVD NW, WINTER HAVEN, FL 33881-5302
(863) 294-3109
(863) 293-0078
Mailing address
1400 HAVENDALE BLVD NW, WINTER HAVEN, FL 33881-5302
(863) 294-3109
(863) 293-0078
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 7537
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
218541
AMERIGROUP NUMBER
—
01
—
274974
AVMED NUMBER
—
01
—
55721
BLUE SHIELD NUMBER
FL
01
—
628545
UNITED HEALTH CARE NUMBER
—
Enumeration date
03/16/2006
Last updated
01/29/2008
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