Thomas Roy Prince, M.D.

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

ME64430 Issued in FL

Practice address

6101 Lake Ellenor Dr
Department of Health, Womens Services
Orlando, FL 32809-4616

Phone

(407) 858-1400

Fax

(407) 858-5999

NPI assigned

Jul 15, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: thomas.prince.1@20042.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1811913437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 W CENTRAL BLVD",
            "address_2": "DEPARTMENT OF HEALTH, WOMENS SERVICES",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051809",
            "telephone_number": "407-858-1400",
            "fax_number": "407-858-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 LAKE ELLENOR DR",
            "address_2": "DEPARTMENT OF HEALTH, WOMENS SERVICES",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094616",
            "telephone_number": "407-858-1400",
            "fax_number": "407-858-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "THOMAS",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "FL",
            "license": "ME64430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267386000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayshirah Prince
• David James Prince, LCSW
• Kayla Prince
• Kristen Prince, PHARMD
• Lourdes Elena Prince, ARNP
• Princeton Pediatrics, PA
• Princeton Professional Services
• Principal Pediatric Group LLC
• Jonathan Raymond Printup
• Heather Priore

• Obstetrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Obstetrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.