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Thomas A Fisk Md
Non-Pharmacy Dispensing Site in Maitland, Florida
NPI 1376589481

Thomas A Fisk Md is a Non-Pharmacy Dispensing Site based in Maitland, FL. Thomas A Fisk Md practices in Maitland, FL. The NPI Number for Thomas A Fisk Md is 1376589481 and holds a License No. ME61050 (Florida).

The current practice location address for Thomas A Fisk Md is New Interlochen Pediatrics, Maitland, FL and can be reached out via phone at 407-767-2477 and via fax at 407-834-9822.

Location: New Interlochen Pediatrics, Maitland, FL, 32751
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376589481
Provider Name
Thomas A Fisk Md
Credential
Provider Entity Type
Organization
Address
New Interlochen Pediatrics, Maitland, FL, 32751
Phone Number
407-767-2477
Fax Number
407-834-9822
Provider Enumeration Date
06/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
58690100 05 FL
1084312 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
New Interlochen Pediatrics
City
Maitland
State
Florida
Zip
32751
Phone Number
407-767-2477
Fax Number
407-834-9822
person
Provider Business Mailing Address Details
Address
New Interlochen Pediatrics
City
Maitland
State
Florida
Zip
32751
Phone Number
407-767-2477
Fax Number
407-834-9822
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
ME61050 (Florida)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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