Thomas Kepner Mahan in Winter Park - Specialist
Thomas Kepner Mahan - NPI 1578568515
Thomas Kepner Mahan is a Specialist in Winter Park, Florida. Thomas Kepner Mahan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Thomas Kepner Mahan is 1578568515. The last update date is 2010-01-04.
Thomas Kepner Mahan's current location address is 1181 Orange Ave, Winter Park, Florida. You can contact this provider via phone number 4076471331 and fax number 4075712757. The mailing address for Thomas Kepner Mahan is 1181 Orange Ave, Winter Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Kepner Mahan |
|---|---|
| Address | 1181 Orange Ave, Winter Park, Florida |
| Phone Number | 4076471331 |
| Fax Number | 4075712757 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1578568515 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2010-01-04 |
Provider Mailing Address Detail
| Address | 1181 Orange Ave |
|---|---|
| City | Winter Park |
| State | Florida (FL) |
| Post Code | 3278949070 |
| Phone Number | 4076471331 |
| Fax Number | 4075712757 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 77745 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 256294400 | FL | -- | |
| 20050326 | FL | PALMETTO GBA - RAILROAD MEDICA |
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What is the unique 10-digit identification code issued to Thomas Kepner Mahan by the Centers for Medicare & Medicaid Services?
The Thomas Kepner Mahan has been assigned the NPI (National Provider Identifier) 1578568515 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Thomas Kepner Mahan located?
The Thomas Kepner Mahan is located at 1181 Orange Ave, Winter Park, FL 3278949070.
What is Thomas Kepner Mahan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Thomas Kepner Mahan is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578568515 to Thomas Kepner Mahan?
The Centers for Medicare & Medicaid Services assigned the 1578568515 to Thomas Kepner Mahan on 2005-06-16.
As of what date were the Thomas Kepner Mahan's details last updated?
The information pertaining to the Thomas Kepner Mahan, including its address, specialty, and other details, was most recently updated on 2010-01-04.
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