Individual
EDWARD THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
518 W FLETCHER AVE, TAMPA, FL 33612-3419
(813) 265-1600
Mailing address
15010 ROUNDUP DR, TAMPA, FL 33624-2320
(813) 264-7290
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA4802
FL
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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