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NPI Code Detail

MEDICARE: THOMAS URGENT CARE SYSTEMS LLC

MEDICARE: THOMAS URGENT CARE SYSTEMS LLC
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
1261QH0100XHealth Service Clinic/CenterME82489FL
2261QM2500XMedical Specialty Clinic/CenterME82489FL
3261QP2300XPrimary Care Clinic/CenterME82489FL
4261QU0200XUrgent Care Clinic/CenterME82489FL
5291U00000XClinical Medical LaboratoryME82489FL
6261QE0002XEmergency Care Clinic/CenterME82489FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5P00289057OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1222672OTHERFLAMERIGROUP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3514769328OTHERFLCHAMPUS
404002OTHERFLBCBS OF FLORIDA

General Provider Information

NPI Number : 1609053461
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOMAS URGENT CARE SYSTEMS LLC
Provider Business Mailing Address
First Line : 12021 WHITMARSH LN
Second Line :
City : TAMPA
State : FL
Zip : 33626-1737
Country : US
Telephone Number : 813-749-2800
Fax Number : 813-855-8362
Provider Business Practice Location Address
First Line : 12021 WHITMARSH LN
Second Line :
City : TAMPA
State : FL
Zip : 33626-1737
Country : US
Telephone Number : 813-749-2800
Fax Number : 813-855-8362
Authorized Official
Title or Position : PHYSICIAN
Name : DR. STANLEY M THOMAS
Credential : M.D.
Telephone Number : 813-749-2800
Provider Enumeration Date : 01/23/2008
Last Update Date : 06/21/2018

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