Individual
DR. THOMAS W O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1121 N CENTRAL AVE, SUITE B, KISSIMMEE, FL 34741-4405
(407) 933-1221
(407) 933-0747
Mailing address
1121 N CENTRAL AVE, SUITE B, KISSIMMEE, FL 34741-4405
(407) 933-1221
(407) 933-0747
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0056928
FL
207RP1001X
Pulmonary Disease Physician
Primary
0056928
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52669000
—
FL
Enumeration date
04/18/2006
Last updated
02/09/2018
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