Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME28944 | FL |
NPI | 1033189188 |
---|---|
Provider Name | Thomas A Csencsitz |
First Address | Orlando, FL 32806-6100 |
Second Address | Orlando, FL 32806-6100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 11/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
039703200 | (05) | FL |
D55021 | (02) | FL |