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Individual

DR. JOHN L THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
206 2ND ST E, BRADENTON, FL 34208-1042
(941) 955-4101
(941) 358-9817
Mailing address
8374 MARKET ST, BOX 502, LAKEWOOD RANCH, FL 34202-5137
(941) 955-4101

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME86993
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269229500
FL
05
269229501
FL
Enumeration date
05/24/2006
Last updated
10/28/2015
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