National Provider Identifier Database

THOMAS R FANN, DPM – NPI #1396852364
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

THOMAS R FANN, DPM
1120 STATE RD 436
SUITE 1400
CASSELBERRY, FL32707
Phone: 407-671-8010
Fax: 407-671-4155
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for THOMAS R FANN

NPI Number 1396852364
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/24/2006
Last updated 11/08/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • FL License #: PO0001035
  • FL Medicaid: 041060800
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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