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THOMAS R FANN DPM
NPI 1396852364
Podiatrist in Casselberry, FL

Active since August 24, 2006
1120 STATE RD 436, SUITE 1400, CASSELBERRY, FL 32707(407) 671-8010(407) 671-4155 Get Directions Write a Review

NPPES record last updated: November 8, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thomas R Fann Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS R FANN DPM (NPI 1396852364) is an individual podiatrist in Casselberry, Florida, licensed in Florida (PO0001035) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1396852364
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameTHOMAS R FANNCredential: DPM
Location Address1120 STATE RD 436, SUITE 1400Casselberry, FL 32707
Mailing Address1120 State Rd 436, Suite 1400Casselberry, FL 32707 · (407) 671-8010 · Fax (407) 671-4155
Phone(407) 671-8010
Fax(407) 671-4155
Sole ProprietorNo
Enumeration DateAugust 24, 2006
Last NPPES UpdateNovember 8, 2010
✔ NPI 1396852364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in FL · PO0001035
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1120 STATE RD 436, Casselberry, FL 32707
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Other Identifiers 4

Medicare NSC0750150004
Medicare UPINT95154
Medicaid041060800FL
Medicare ID-Type Unspecified87592

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Fann's NPI number?

The NPI number for Thomas Fann is 1396852364. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Thomas Fann located?

Thomas Fann practices at 1120 State Rd 436 Suite 1400, Casselberry, FL 32707. The listed phone number is (407) 671-8010.

What is Thomas Fann's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Thomas Fann was last updated on November 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.