Individual
MR. THMOAS GIBBONS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.A. CCC/SLP
Contact information
Practice address
12424 RESEARCH PARKWAY SUIT 155, ORLANDO, DC 32826
(407) 249-4774
Mailing address
12012 LAKE CYPRESS CIR C302, ORLANDO, FL 32828
(407) 619-7548
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 6265
FL
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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