Provider Demographics
NPI:1003973371
Name:HINES, THOMAS S (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:S
Last Name:HINES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2119 PINE RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-8802
Mailing Address - Country:US
Mailing Address - Phone:352-687-2800
Mailing Address - Fax:
Practice Address - Street 1:2119 PINE RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472-8802
Practice Address - Country:US
Practice Address - Phone:352-687-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0003877111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88824ZMedicare PIN
FLT-55982Medicare UPIN