Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ME67753 | FL |
N | 208600000X | Surgeon | ME67753 | FL |
Y | 2086S0129X | Vascular Surgeon | ME67753 | FL |
NPI | 1154362176 |
---|---|
Provider Name | Dr. Thomas S Huber |
First Address | Orlando, FL 32891-8025 |
Second Address | Gainesville, FL 32610-3003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 23/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
375766800 | (05) | FL |
F38620 | (02) |