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General NPI Number Information
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NPI Number | 1316870637
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Entity Type | Organization
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Legal Business Name | TOMARCHIO MEDICAL GROUP, PLLC
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 19817 GULF BLVD APT 301
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City | INDIAN SHORES
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State | FL
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Zip | 33785-2396
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Country | US
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Telephone | 803-335-8857
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Fax |
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Provider Business Mailing Address
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Address Line | 19817 GULF BLVD APT 301
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City | INDIAN SHORES
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State | FL
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Zip | 33785-2396
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Country | US
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Telephone | 803-335-8857
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN BRANHAM TOMARCHIO
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Credential |
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Telephone | 803-335-8857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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