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Contact Information

TABITHA E THODE
3447 GAVESON CT
PORT ORANGE, FL32129-3122
 Phone: 386-366-2477
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for TABITHA E THODE · (Female)

NPI # 1265086250
Status Active
Credentials
Entity Individual
Enumeration date 07/28/2019
Last updated 07/17/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AL License # 2902
  • FL License # AL6607
Hospital affiliation(s) Not Available
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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