MEDICARE: THOMAS HUNT-FELKE PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY10019	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144698234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS HUNT-FELKE PHD

Provider Business Mailing Address
First Line	:	5701 N MIAMI AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-7115
Country	:	US
Telephone Number	:	813-540-2403
Fax Number	:	813-618-5906

Provider Business Practice Location Address
First Line	:	2701 W BUSCH BLVD STE 201
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-4578
Country	:	US
Telephone Number	:	626-388-7546
Fax Number	:	813-618-5906

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2015
Last Update Date	:	02/21/2022

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Directions to “ THOMAS HUNT-FELKE PHD” Practice Location

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