Individual
DR. THOMAS L BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4519 TILTON COURT, FORT MYERS, FL 33907
(239) 494-8777
(239) 288-7139
Mailing address
4519 TILTON COURT, FORT MYERS, FL 33907
(239) 494-8777
(239) 288-7139
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME66691
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269332100
—
FL
Enumeration date
06/23/2006
Last updated
06/04/2024
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