Individual
THOMAS J MCELLIGOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1924 US HIGHWAY 441 N, OKEECHOBEE, FL 34972-1922
(863) 357-0540
(863) 357-0546
Mailing address
1924 US HIGHWAY 441 N, OKEECHOBEE, FL 34972-1922
(863) 357-0540
(863) 357-0546
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
037617
GA
207X00000X
Orthopaedic Surgery Physician
Primary
ME138251
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00570963B
—
GA
01
—
200020069
MEDICARE RAILROAD
GA
Enumeration date
04/10/2006
Last updated
04/01/2020
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