Individual
TINA MARIE THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4620 N 22ND ST, TAMPA, FL 33610-6205
(813) 272-6240
Mailing address
PO BOX 82969, TAMPA, FL 33682-2969
(813) 866-0930
(813) 405-3722
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME132931
FL
Other
Enumeration date
04/09/2012
Last updated
12/18/2017
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