Individual
THOMAS KEITH JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6200 SW 73RD ST FL 2, SOUTH MIAMI, FL 33143-4679
(305) 740-0823
Mailing address
407 NE 8TH ST, GAINESVILLE, FL 32601-5593
(904) 305-4398
(904) 305-4398
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME156014
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME156014
FLOIRDA BOARD OF MEDICINE
FL
Enumeration date
03/19/2018
Last updated
05/10/2022
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