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Individual

THOMAS JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
13100 FORT KING RD, DADE CITY, FL 33525-5294
(352) 521-1100
Mailing address
13100 FORT KING RD, DADE CITY, FL 33525-5294
(352) 521-1100

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA27050
FL

Other

Enumeration date
08/25/2021
Last updated
08/25/2021
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