Organization
PHYSICIAN'S MANAGED SERVICES ORGANIZATION OF SOUTHWEST FLORIDA, LLC
Active
Other names
Total Woman's Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A BECKETT M.D (OWNER)
(239) 514-3131
Entity
Organization
Contact information
Practice address
1890 SW HEALTH PKWY, SUITE 203, NAPLES, FL 34109-0473
(239) 514-3131
Mailing address
1200 CORPORATE CENTER WAY, SUITE 200, WELLINGTON, FL 33414-2108
(561) 623-8300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME58884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004UR
BCBSFL
FL
05
—
008754000
—
FL
Enumeration date
04/05/2013
Last updated
03/04/2015
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