Tabitha E Thode
Tabitha E Thode is a Sports Medicine (Emergency Medicine) Physician in Port Orange, Florida. Licensed in Alabama and Florida. Registered with an NPI since 2019.
- Licensed in
- AL, FL
- In the registry since
- 2019
- Specialties on file
- 3
Practice location Address checks out
3447 Gaveson CtPort Orange, FL 32129-3122
Phone: (386) 366-2477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 2902 (AL) |
|---|---|
| Sports Medicine (Emergency Medicine) Physician | Taxonomy 207PS0010X · Licence AL6607 (FL) |
| Athletic Trainer | Taxonomy 2255A2300X · Licence AL6607 (FL) |
Record details
| NPI number | 1265086250 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 28, 2019 |
| Last updated in NPPES | July 17, 2024 |
| Certification date | July 17, 2024 |
| Mailing address | 5235 Christiancy Ave, Port Orange, FL 32127-5571 |