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Individual

THOMAS W OWNBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
510 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7325
(386) 424-5000
Mailing address
510 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7325

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME26254
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME26254
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
057845200
FL
Enumeration date
07/10/2007
Last updated
03/20/2018
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