NPI 1194470385

Thomas Bennett Mahan, RRT

Practitioner Critical Care Registered Respiratory Therapist Lake City, FL

Practice location

Address: 619 S Marion Ave, Lake City, FL 32025-5808
Phone: (386) 719-2851
Mailing address: 7589 SE County Road 232, Trenton, FL 32693-4739

Registered specialties

Critical Care Registered Respiratory Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2279C0205X Licence RT12051 (FL)

Other Respiratory Therapist, Registered providers in Florida →

Registry record

NPI: 1194470385
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Feb 2022
Record last updated: 16 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.