Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | MFC1508 | FL |
NPI | 1093168668 |
---|---|
Provider Name | Thomas Schrepfer |
First Address | Gainesville, FL 32610-0264 |
Second Address | Gainesville, FL 32610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2016 |
Last Update Date | 01/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100534200 | (05) | FL |