Provider Demographics
NPI:1275511834
Name:DEER, THOMAS CHRISTOPHER (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:CHRISTOPHER
Last Name:DEER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 N ATLANTIC BLVD APT 17C
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-4339
Mailing Address - Country:US
Mailing Address - Phone:954-560-4065
Mailing Address - Fax:954-560-4065
Practice Address - Street 1:209 N ATLANTIC BLVD APT 17C
Practice Address - Street 2:#200
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-4339
Practice Address - Country:US
Practice Address - Phone:954-560-4065
Practice Address - Fax:954-560-4065
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89857207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL43217OtherBCBS
FL269680100Medicaid
FL43217OtherBCBS
FL43217YMedicare ID - Type Unspecified
FL269680100Medicaid