Individual
DR. THOMAS BRIAN WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3703 SW 13TH ST, GAINESVILLE, FL 32608-3507
(352) 672-8023
Mailing address
5120 NW 67TH ST, GAINESVILLE, FL 32653-3949
(352) 672-8023
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME90007
FL
208D00000X
General Practice Physician
Primary
ME90007
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269502200
—
FL
Enumeration date
07/18/2006
Last updated
03/19/2015
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