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Individual

THOMAS MICHAEL WOODS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12225 28TH ST N, STE A, ST PETERSBURG, FL 33716-1860
(727) 823-2188
(727) 828-0723
Mailing address
PO BOX 22005, ST PETERSBURG, FL 33742-2005

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME82618
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01838
BCBS
FL
05
261802800
FL
01
P00244151
RR MEDICARE
FL
Enumeration date
08/23/2006
Last updated
09/02/2010
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