Organization
THOMAS M SWEENEY II M D PH D P A
Active
Organization
THOMAS M SWEENEY II M D PH D P A
Active
Other names
Southeastern Spine Center & Research Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MEDRICK SWEENEY II M.D., PH.D. (PRESIDENT)
(941) 371-9773
Entity
Organization
Contact information
Practice address
5922 CATTLEMEN LN STE 201, SARASOTA, FL 34232-6204
(941) 371-9773
(941) 556-0341
Mailing address
5922 CATTLEMEN LN STE 201, SARASOTA, FL 34232-6204
(941) 371-9773
(941) 556-0341
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45493
BLUE SHIELD ID NUMBER
FL
01
—
DB1611
RAIL ROAD MEDICARE
FL
Enumeration date
07/29/2006
Last updated
07/16/2011
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