Individual
THOMAS D PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACC
Contact information
Practice address
5151 N 9TH AVE, SUITE 200, PENSACOLA, FL 32504-8721
(850) 857-1700
(850) 857-1747
Mailing address
1717 NORTH E STREET, SUITE 333, PENSACOLA, FL 32501
(850) 444-1717
(850) 857-1747
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME87460
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009942915
—
AL
05
—
2667185 00
—
FL
Enumeration date
07/27/2005
Last updated
01/23/2012
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