Digeronimo, Thomas A

Digeronimo, Thomas A is an individual health care provider with primary practice located at 3302 W Baker St , Plant City FL 33563-2851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Digeronimo, Thomas A can be contacted via phone (813) 752-1336.

Contact Information

Primary practice address
3302 W Baker St Plant City FL 33563-2851
Phone: (813) 752-1336
Fax: (813) 754-6914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME0054874 Florida

Profile Details

NPI number 1134102973
LBN Legal business name Digeronimo, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Jan 18th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134102973 NPPES
Florida MEDICAID 055884200

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