Healthcare Provider Details

I. General information

NPI: 1679360994
Provider Name (Legal Business Name): STERLING LEE THOMAS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 02/14/2026
Certification Date: 02/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2662 COUNTRY SIDE DR
FLEMING ISLAND FL
32003-4951
US

IV. Provider business mailing address

7161 FRANCE AVE S
EDINA MN
55435-4333
US

V. Phone/Fax

Practice location:
  • Phone: 904-738-9120
  • Fax:
Mailing address:
  • Phone: 904-738-9120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35398
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: