Olubukunola Collins Thomas (NPI# 1386734721, PAC ID# 4385659762) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1386734721 |
PAC ID by PECOS | 4385659762 |
Professional Enrollment ID | I20060207000785 |
Full Name | Olubukunola Collins Thomas |
Address |
984 Orange Ave Daytona Beach FL 32114-4667 |
Gender | M |
Credential | MD |
Graduation Year | 1982 |
Primary Specialty | GENERAL PRACTICE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100017 | HALIFAX HEALTH MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
984 Orange Ave, Daytona Beach, FL 32114-4667 |
Street Address |
984 ORANGE AVE |
City | DAYTONA BEACH |
State | FL |
Zip | 32114-4667 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel Gunter | Optometry | Gulf Coast Optometry Pa | 2254 W International Speedway Blvd, Daytona Beach, FL 32114-1124 |
Kyle J Bettis | Optometry | Gulf Coast Optometry Pa | 2254 W International Speedway Blvd, Daytona Beach, FL 32114-1124 |
James W Weaver | Diagnostic Radiology | Sheridan Radiology Services of West Florida Inc | 201 Bill France Blvd, Daytona Beach, FL 32114-1316 |
Robert B Leb | Diagnostic Radiology | Sheridan Radiology Services of West Florida Inc | 201 Bill France Blvd, Daytona Beach, FL 32114-1316 |
Katherine Rogers | Nurse Practitioner | Can Community Health, Inc. | 1435 Dunn Ave, Suite 101, Daytona Beach, FL 32114-1434 |
Charles Harrelson Moss | Nurse Practitioner | Can Community Health, Inc. | 1435 Dunn Ave, Suite 101, Daytona Beach, FL 32114-1434 |
Holly Anne Smith | Nurse Practitioner | Rural Health Care Incorporated | 1425 Dunn Ave, Daytona Beach, FL 32114-1437 |
Michelle K Kessler | Nurse Practitioner | Rural Health Care Incorporated | 1455 Dunn Ave, Daytona Beach, FL 32114-1437 |
Muhammad I Usmani | Family Medicine | Rural Health Care Incorporated | 1425 Dunn Ave, Daytona Beach, FL 32114-1437 |
Francis X Decandis | Family Medicine | Rural Health Care Incorporated | 1425 Dunn Ave, Daytona Beach, FL 32114-1437 |
Find all physicians in zip 32114 |
City | DAYTONA BEACH |
Zip Code | 32114 |
Specialty | GENERAL PRACTICE |
City + Specialty | DAYTONA BEACH + GENERAL PRACTICE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.