Prosser, Thomas L.

Prosser, Thomas L. is an individual health care provider with primary practice located at 6110 State Road 70 E , Bradenton FL 34203-9707. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Prosser, Thomas L. can be contacted via phone (941) 755-4242.

Contact Information

Primary practice address
6110 State Road 70 E Bradenton FL 34203-9707
Phone: (941) 755-4242
Fax: (941) 755-1906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2121 Florida

Profile Details

NPI number 1508801671
LBN Legal business name Prosser, Thomas L.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jun 12th, 2013 - 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 1508801671 NPPES
Florida MEDICAID 255473900

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