Individual
DR. THOMAS D RINEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4553 WATKINS ST, PACE, FL 32571-2511
(850) 800-2772
(850) 994-4080
Mailing address
335 ANDREW JACKSON TRL, GULF BREEZE, FL 32561-4412
(850) 512-4397
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
ME0060612
FL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
60612
FL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
ME0060612
FL
208000000X
Pediatrics Physician
ME60612
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
ME0060612
FL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
ME60612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055110400
—
FL
01
—
12761
BLUE CROSS BLUE SHIELD
FL
01
—
5498188
AETNA
—
01
—
59170194
BLUE CROSS BLUE SHIELD
AL
01
—
A259
HEALTH FIRST NETWORK
FL
Enumeration date
10/24/2005
Last updated
08/30/2023
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