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Individual

DR. THOMAS JEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 7TH ST N, NAPLES, FL 34102
(813) 263-5107
Mailing address
4351 TAMIAMI TRL N, NAPLES, FL 34103-3106
(239) 263-1777
(239) 263-6983

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
49480
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
377019200
FL
01
P00165888
RAILROAD MEDICARE
Enumeration date
02/15/2006
Last updated
06/26/2015
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