Kelly, Thomas F

Kelly, Thomas F is an individual health care provider with primary practice located at 1540 S Tamiami Trl Suite 303, Sarasota FL 34239-2930. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Kelly, Thomas F can be contacted via phone (941) 917-8791.

Contact Information

Primary practice address
1540 S Tamiami Trl Suite 303 Sarasota FL 34239-2930
Phone: (941) 917-8791
Fax: (941) 917-8793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0034098 Florida
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME34098 Florida

Profile Details

NPI number 1073519104
LBN Legal business name Kelly, Thomas F
Credentials M.D., P.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Dec 19th, 2016 - about 8 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 1073519104 NPPES
Florida MEDICAID 258121300
Florida MEDICAID 008376100
Florida Other 68149

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