MEDICARE: THOMAS ENTERPRIZES

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1477662070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS ENTERPRIZES

Provider Business Mailing Address
First Line	:	4126 3RD ST S
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-5833
Country	:	US
Telephone Number	:	904-247-0460
Fax Number	:	904-247-0490

Provider Business Practice Location Address
First Line	:	4126 3RD ST S
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-5833
Country	:	US
Telephone Number	:	904-247-0460
Fax Number	:	904-247-0490

Authorized Official
Title or Position	:	OWNER
Name	:	JIMMIE B THOMAS
Credential	:
Telephone Number	:	904-247-0460

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	02/20/2008

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Directions to “THOMAS ENTERPRIZES ” Practice Location

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