Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ME 74474 | FL |
N | 208600000X | Surgeon | ME 74474 | FL |
N | 2086S0122X | Plastic and Reconstructive Surgery | ME 74474 | FL |
NPI | 1326154451 |
---|---|
Provider Name | Dr. Thomas G.s. Fiala |
First Address | Altamonte Springs, FL 32701-3417 |
Second Address | Altamonte Springs, FL 32701-3417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 08/07/2007 |