Individual
ASHLEY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1012 LUCERNE TER, ORLANDO, FL 32806-1015
(401) 423-1039
(407) 425-2347
Mailing address
1012 LUCERNE TER, ORLANDO, FL 32806-1015
(401) 423-1039
(407) 425-2347
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME106204
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006677200
—
FL
01
—
ME106204
MEDICAL LICENSE
FL
Enumeration date
10/01/2008
Last updated
11/14/2016
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