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Individual

THOMAS J. ELSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6936 MEDICAL VIEW LN, ZEPHYRHILLS, FL 33542-6602
(813) 788-0603
Mailing address
P.O BOX 406153, ATLANTA, GA 30384-1876
(813) 788-0603

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS895
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
610158500
FL
Enumeration date
07/18/2006
Last updated
10/08/2008
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