Organization · Type 2 NPI
Thomas A Fisk MD
Non-Pharmacy Dispensing Site · Maitland, FL
NPI number
1376589481
Active
Practice location
New Interlochen Pediatrics, 846 Lake Howell Rd
Maitland, FL 32751
Fax (407) 834-9822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | ME61050 (FL) |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Other non-pharmacy dispensing site providers in Maitland
About NPI 1376589481
Thomas A Fisk MD's National Provider Identifier is 1376589481, issued on Jun 20, 2006. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Maitland, FL. The record was last updated on Aug 22, 2020.