Provider Demographics
NPI:1932201944
Name:THOMS, ERIC F (ARNP)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:F
Last Name:THOMS
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 OLD MOULTRIE RD
Mailing Address - Street 2:STE 1
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-4198
Mailing Address - Country:US
Mailing Address - Phone:904-874-8408
Mailing Address - Fax:904-293-0299
Practice Address - Street 1:1099 A1A BEACH BLVD
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32080
Practice Address - Country:US
Practice Address - Phone:904-471-9104
Practice Address - Fax:904-461-3386
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program