Individual
DR. BRYAN ANTHONY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
870 DUNLAWTON AVE FL 32127, PORT ORANGE, FL 32127-9274
(386) 317-5149
(386) 492-7348
Mailing address
870 DUNLAWTON AVE FL 32127, PORT ORANGE, FL 32127-9274
(386) 317-5149
(386) 492-7348
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
ME122075
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME122075
FL
Other
Enumeration date
05/01/2013
Last updated
07/12/2024
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