Individual
DR. THOMAS G GADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1375 ROBERTS DR, SUITE 103, JACKSONVILLE BEACH, FL 32250-3210
(904) 997-3800
(904) 997-3899
Mailing address
7015 AC SKINNER PARKWAY, SUITE 1, JACKSONVILLE, FL 32256-1369
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME 54888
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10828
BCBS
FL
01
—
212514
AVMED
FL
05
—
271557100
—
FL
01
—
4668181
AETNA
FL
Enumeration date
06/14/2005
Last updated
06/06/2013
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