Individual
MR. TOM JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(727) 398-6661
Mailing address
11877 91ST AVE, SEMINOLE, FL 33772-2745
(727) 460-6757
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
9378872
FL
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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