Individual
ROBIN KALLOOR THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(863) 450-5755
Mailing address
5333 SW 75TH ST APT T117, GAINESVILLE, FL 32608-7452
(863) 450-5755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003440
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/27/2018
Last updated
07/22/2022
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