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NPI Code Detail

MEDICARE: DR. TAWANA I. THOMAS MD

MEDICARE: DR. TAWANA I. THOMAS MD
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
1207RI0200XInfectious Disease PhysicianME120042FL

General Provider Information

NPI Number : 1427371632
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAWANA I. THOMAS MD
Provider Business Mailing Address
First Line : 2122 UNIVERSITY BLVD S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-8937
Country : US
Telephone Number : 904-398-5614
Fax Number : 904-398-5617
Provider Business Practice Location Address
First Line : 2122 UNIVERSITY BLVD S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-8937
Country : US
Telephone Number : 904-398-5614
Fax Number : 904-398-5617
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2010
Last Update Date : 02/10/2017

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Directions to “ DR. TAWANA I. THOMAS MD” Practice Location

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