Seales, Thomas Jacob
Seales, Thomas Jacob is an sole proprietor health care provider with primary practice located at 1034 Mar Walt Dr Unit 100 , Fort Walton Beach FL 32547-6637. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Seales, Thomas Jacob can be contacted via phone (850) 863-2153.Contact Information
Primary practice address
1034 Mar Walt Dr Unit 100
Fort Walton Beach FL 32547-6637
Phone: (850) 863-2153
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 131396 | Florida |
Profile Details
NPI number | 1104184951 |
---|---|
LBN Legal business name | Seales, Thomas Jacob |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 30th, 2012 |
Last updated | Jan 28th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104184951 | NPPES |
Florida | MEDICAID | 02171200 | |
Florida | Other | ON9E7 | |
Florida | Other | 14092927 |
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