Thomas, Gwendolynn

Thomas, Gwendolynn is an sole proprietor health care provider with primary practice located at 6701 38Th Avenue North Suite #3, St Petersburg FL 33710. She recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as her primary health care specialty. Thomas, Gwendolynn can be contacted via phone (727) 344-8690.

Contact Information

Primary practice address
6701 38Th Avenue North Suite #3 St Petersburg FL 33710
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X AP2207 Florida

Profile Details

NPI number 1366656258
LBN Legal business name Thomas, Gwendolynn
Credentials A.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2007
Last updated Jul 8th, 2007 - about 17 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 1366656258 NPPES
Florida Other AP2207 DEPT OF HEALTH LICENSE

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