Individual
ROBERT THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5731 BEE RIDGE RD, SARASOTA, FL 34233-5056
(941) 342-1100
Mailing address
PO BOX 860554, ORLANDO, FL 32886-0554
(904) 346-3606
(904) 346-0113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS0008592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07351012
—
MS
01
—
13731
BCBS
FL
05
—
1779261
—
LA
05
—
272690400
—
FL
01
—
930122649
RAILROAD MEDICARE
FL
Enumeration date
07/24/2006
Last updated
12/16/2021
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