Provider Demographics
NPI:1326154451
Name:FIALA, THOMAS GS (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:GS
Last Name:FIALA
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 1:220 E CENTRAL PKWY
Mailing Address - Street 2:SUITE 2020
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-3417
Mailing Address - Country:US
Mailing Address - Phone:407-339-3222
Mailing Address - Fax:
Practice Address - Street 1:220 E CENTRAL PKWY
Practice Address - Street 2:SUITE 2020
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-3417
Practice Address - Country:US
Practice Address - Phone:407-339-3222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 74474208200000X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Not Answered2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery