Thomas, Jolly
Thomas, Jolly is an individual health care provider with primary practice located at 801 E. Dixie Avenue Suite 101, Leesburg FL 34748. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thomas, Jolly can be contacted via phone (352) 326-4031.Contact Information
Primary practice address
801 E. Dixie Avenue Suite 101
Leesburg FL 34748
Phone: (352) 326-4031
Fax: (352) 360-0257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME96580 | Florida |
Profile Details
| NPI number | 1992717417 |
|---|---|
| LBN Legal business name | Thomas, Jolly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Oct 1st, 2018 - about 6 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 | 1992717417 | NPPES |
| Florida | MEDICAID | 276185800 |
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