Organization
THOMAS A DIGERONIMO MD PA
Active
Organization
THOMAS A DIGERONIMO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A DIGERONIMO M.D. (OWNER PHYSICIAN)
(813) 752-1336
Entity
Organization
Contact information
Practice address
3302 W BAKER ST, PLANT CITY, FL 33563-2851
(813) 752-1336
(813) 754-6914
Mailing address
3302 W BAKER ST, PLANT CITY, FL 33563-2851
(813) 752-1336
(813) 754-6914
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250908300
—
FL
Enumeration date
01/24/2007
Last updated
06/24/2009
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