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Provider Information for 1518971175

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. CHARLES A THOMAN JR. M.D.

Gender: MALE

Individual NPI: 1518971175

Calendar   Last Updated:  2016-04-18
  Certification Date: 

Details

Name Value
NPI 1518971175
Enumeration Date 2006-07-28
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 3231 SW 34TH AVE P.O. BOX 4860
OCALA, FL 34474-8489
United States

Phone: 352-873-7400 | Fax: 352-873-7435
View Map External Link
Primary Practice Address 3231 SW 34TH AVE.
OCALA, FL 34478-4860
United States

Phone: 352-873-7400 | Fax: 352-873-7435
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID FL 048346000
Other UNSPECIFIED FL 05260
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2086H0002X - Surgery Hospice and Palliative Medicine FL ME11360
No 208800000X - Urology FL 0011360