Gennara, Thomas Scott

Gennara, Thomas Scott is an individual health care provider with primary practice located at 270 S Moon Ave , Brandon FL 33511-5711. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gennara, Thomas Scott can be contacted via phone (813) 571-9988.

Contact Information

Primary practice address
270 S Moon Ave Brandon FL 33511-5711
Phone: (813) 571-9988
Fax: (813) 571-9922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA1808 Florida

Profile Details

NPI number 1033209754
LBN Legal business name Gennara, Thomas Scott
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jan 27th, 2022 - about 3 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 1033209754 NPPES
Florida Other P01320498 RR MEDICARE
Florida MEDICAID 009471200 RR MEDICARE

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