Provider Demographics
NPI:1487857678
Name:OAKLEY, THOMAS F (LMT)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:F
Last Name:OAKLEY
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:MR
Other - First Name:THOMAS
Other - Middle Name:F
Other - Last Name:OAKLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:PO BOX 813505
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33081-3505
Mailing Address - Country:US
Mailing Address - Phone:954-987-9609
Mailing Address - Fax:954-963-7169
Practice Address - Street 1:5511 BUCHANAN ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-5709
Practice Address - Country:US
Practice Address - Phone:305-389-6325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA0012067225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLWORKER'S COMPOther204287600
FLBCBSFLOtherC7069