Healthcare Provider Details

I. General information

NPI: 1003735432
Provider Name (Legal Business Name): MR. THOMAS JOHN ALLMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

992 SYLVIA DR
DELTONA FL
32725-2718
US

IV. Provider business mailing address

992 SYLVIA DR
DELTONA FL
32725-2718
US

V. Phone/Fax

Practice location:
  • Phone: 386-801-9067
  • Fax: 386-532-2028
Mailing address:
  • Phone: 386-801-9067
  • Fax: 386-532-2028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA91438
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: