MEDICARE: THOMAS MICHAEL WOODS JR. 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
1	207L00000X	Anesthesiology Physician	ME82618	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00244151	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	01838	OTHER	FL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609983923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS MICHAEL WOODS JR. MD

Provider Business Mailing Address
First Line	:	PO BOX 22005
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33742-2005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12225 28TH ST N
Second Line	:	STE A
City	:	ST PETERSBURG
State	:	FL
Zip	:	33716-1860
Country	:	US
Telephone Number	:	727-823-2188
Fax Number	:	727-828-0723

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	09/02/2010

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