Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH0003877 | FL |
NPI | 1003973371 |
---|---|
Provider Name | Dr. Thomas S Hines |
First Address | Ocala, FL 34472-8802 |
Second Address | Ocala, FL 34472-8802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 06/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T-55982 | (02) | FL |