Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | LT15381 | ND |
N | 111NI0900X | Internist | LT15381 | ND |
N | 207R00000X | Internist | ME146191 | FL |
N | 111NI0900X | Internist | ME146191 | FL |
N | 207RH0002X | Hospice and Palliative Medicine | 146191 | FL |
Y | 207RH0002X | Hospice and Palliative Medicine | ME146191 | FL |
N | 208000000X | Pediatrician | 146191 | FL |
N | 208000000X | Pediatrician | LT15381 | ND |
N | 208000000X | Pediatrician | ME146191 | FL |
NPI | 1033537105 |
---|---|
Provider Name | Dr. Daniel Lee Thorngren III |
First Address | Clearwater, FL 33760-3407 |
Second Address | Clearwater, FL 33760-3407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2014 |
Last Update Date | 09/06/2021 |