Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thomas a Fisk MD

Organization Non-Pharmacy Dispensing Site · NPI 1376589481

Thomas a Fisk MD is a Non-Pharmacy Dispensing Site in Maitland, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006

Practice location Partly verified

Some contact details are missing from the federal record.

New Interlochen Pediatrics 846 Lake Howell Rd
Maitland, FL 32751
Phone: (407) 767-2477
Fax: (407) 834-9822
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence ME61050 (FL)

Record details

NPI number1376589481
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Direndia Shackelford — Managed Care Specialist · (800) 654-0889
NPI enumeratedJune 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressNew Interlochen Pediatrics, 846 Lake Howell Rd, Maitland, FL 32751

Other providers in Maitland