Provider Demographics
NPI:1679674303
Name:THAMES, THOMAS BYRON (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:BYRON
Last Name:THAMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3364 WINDY WOOD DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-6047
Mailing Address - Country:US
Mailing Address - Phone:407-277-8058
Mailing Address - Fax:407-273-5146
Practice Address - Street 1:3364 WINDY WOOD DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-6047
Practice Address - Country:US
Practice Address - Phone:407-277-8058
Practice Address - Fax:407-273-5146
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 69062083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine