Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | ME94258 | FL |
NPI | 1003971516 |
---|---|
Provider Name | Dr. Thomas Patrick Bentley |
First Address | Gainesville, FL 32607-4993 |
Second Address | Gainesville, FL 32607-4993 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2006 |
Last Update Date | 12/02/2010 |