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Individual

THOMAS FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4742
(813) 259-0889
(813) 259-0944
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME53506
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
049407100
FL
01
07041
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/18/2006
Last updated
03/18/2021
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