Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35.085853 | OH |
N | 208600000X | Surgeon | 35.085853 | OH |
Y | 2086X0206X | Surgical Oncologist | ME117351 | FL |
N | 2086X0206X | Surgical Oncologist | N6714 | TX |
NPI | 1104838275 |
---|---|
Provider Name | Dr. Ryan Michael Thomas |
First Address | Gainesville, FL 32608-1135 |
Second Address | Gainesville, FL 32608-1135 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 22/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
015280800 | (05) | FL |