Individual
DR. THOMAS R SYVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7394 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-7802
(904) 475-2039
Mailing address
14918 N FLORIDA AVE, TAMPA, FL 33613-1632
(813) 931-0000
(813) 264-6868
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
ME54040
FL
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
ME54040
FL
Other
Enumeration date
12/07/2005
Last updated
11/30/2020
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