Individual
DR. THOMAS G WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11373 CORTEZ BLVD, STE 400, BROOKSVILLE, FL 34613-5414
(352) 597-2604
(352) 596-0520
Mailing address
11373 CORTEZ BLVD, STE 400, BROOKSVILLE, FL 34613-5414
(352) 597-2604
(352) 596-0520
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
OS04712
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035201201
—
FL
01
—
1194714485
MEDICARE GROUP NPI
FL
01
—
1609892595
MEDICRE INDIVIDUAL NPI
FL
Enumeration date
07/14/2006
Last updated
07/24/2020
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