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Individual

THOMAS J RUTHERFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
(813) 974-2201

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
032933
CT
207VX0201X
Gynecologic Oncology Physician
Primary
ME130333
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001329334
CT
05
019236900
FL
01
9BQVM
BLUE CROSS AND BLUE SHIELD
FL
Enumeration date
10/26/2005
Last updated
12/21/2016
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