MEDICARE: JOSEPH 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
1	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	ME87102	FL
2	2083X0100X	Occupational Medicine Physician	ME87102	FL

General Provider Information

NPI Number	:	1730169616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH THOMAS MD

Provider Business Mailing Address
First Line	:	2758 SHADE TREE DR
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-4975
Country	:	US
Telephone Number	:	904-215-9432
Fax Number	:

Provider Business Practice Location Address
First Line	:	6353 ARGYLE FOREST BLVD STE 1
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-6602
Country	:	US
Telephone Number	:	904-504-9660
Fax Number	:

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

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	10/03/2023

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Directions to “ JOSEPH THOMAS MD” Practice Location

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