Individual
ROGER P. THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 E NEW HAVEN AVE, MELBOURNE, FL 32901-4576
(321) 729-8223
(321) 729-6252
Mailing address
PO BOX 3123, ST AUGUSTINE, FL 32085-3123
(904) 824-4990
(904) 824-2226
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME117289
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009391900
—
FL
Enumeration date
08/16/2005
Last updated
12/13/2013
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