Provider Demographics
NPI:1588778419
Name:RICE, THOMAS J (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:J
Last Name:RICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:19735 TURNBERRY WAY
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2512
Mailing Address - Country:US
Mailing Address - Phone:305-935-7141
Mailing Address - Fax:305-935-5018
Practice Address - Street 1:19735 TURNBERRY WAY
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2512
Practice Address - Country:US
Practice Address - Phone:305-935-7141
Practice Address - Fax:305-935-5018
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME14701207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL71090AMedicare ID - Type Unspecified