Organization
C. THOMMEN THOMAS, M.D., P.A.
Active
Organization
C. THOMMEN THOMAS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHEMPAKANALLORE THOMMEN THOMAS M.D. (PRESIDENT)
(813) 685-9693
Entity
Organization
Contact information
Practice address
165 W ROBERTSON ST, BRANDON, FL 33511-5111
(813) 685-9693
(813) 685-9774
Mailing address
165 W ROBERTSON ST, BRANDON, FL 33511-5111
(813) 685-9693
(813) 685-9774
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0042260
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068619100
—
FL
Enumeration date
01/05/2011
Last updated
01/05/2011
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