Individual
THOMAS CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1812 N MILLS AVE, ORLANDO, FL 32803-1834
(407) 897-3499
(407) 896-9454
Mailing address
1812 N MILLS AVE, ORLANDO, FL 32803-1834
(407) 897-3499
(407) 896-9454
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
MD448003
PA
208800000X
Urology Physician
Primary
ME167819
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123785000
—
FL
Enumeration date
05/21/2008
Last updated
12/27/2024
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