Dr. Thomas J. Neilson M.D.
Full Name
Dr. Thomas Jay Neilson M.D.
NPI Number
1174549034
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/14/2006
Specialties
(Taxonomies)Code
207R00000X
2083P0500X
Primary Taxonomy
No
No
Licenses
State
Florida
License Number
ME82070
Contact
Information
Purpose
Mailing
Location
Address
500 WATER ST # J-290
500 WATER ST # J-290
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32202-4423
32202-4423
Country
US
US
Telephone Number
(904) 359-7645
(904) 359-7645
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007