Individual
DR. THOMAS P O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 S ALCANIZ ST, #206, PENSACOLA, FL 32502-6157
(850) 974-4221
Mailing address
108 S ALCANIZ ST, #206, PENSACOLA, FL 32502-6157
(850) 974-4221
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
150667
MA
207L00000X
Anesthesiology Physician
Primary
ME89336
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
0101237040
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010165288
—
VA
05
—
010226201
—
VA
01
—
139230
TRIGON
VA
01
—
484645
NCPPO
VA
01
—
K142-0001
CAREFIRST 2005
VA
01
—
P00265735
RAILROAD MEDICARE
VA
Enumeration date
09/28/2006
Last updated
10/05/2010
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