Individual
THOMAS V MAROLDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 SOUTH ASHLEY DRIVE, SUITE 1500, TAMPA, FL 33602-5318
(813) 899-6220
(813) 985-8006
Mailing address
100 SOUTH ASHLEY DRIVE, SUITE 1500, TAMPA, FL 33602-5318
(813) 899-6220
(813) 985-8006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00034132
WA
174400000X
Specialist
ME116151
FL
2085N0700X
Neuroradiology Physician
ME116151
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME116151
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013186100
—
FL
05
—
082888
—
OR
05
—
1245282664
—
WA
Enumeration date
05/16/2006
Last updated
03/09/2015
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