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Individual

TOMAS DVORAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
8354
MA
2085R0001X
Radiation Oncology Physician
Primary
ME106808
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002163500
FL
01
ME106808
MEDICAL LICENSE
FL
Enumeration date
04/03/2007
Last updated
11/16/2016
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