Individual
THOMAS MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4612 N 56TH ST, TAMPA, FL 33610-7123
(813) 246-4899
(813) 246-5119
Mailing address
4612 N 56TH ST, TAMPA, FL 33610-7123
(813) 246-4899
(813) 246-5119
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CAP1269
FL
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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