Male or Other

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)

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

Provider Address