Thomas, Mary Issac

Thomas, Mary Issac is an individual health care provider with primary practice located at 3550 W. Waters Avenue , Tampa FL 33614-2716. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thomas, Mary Issac can be contacted via phone (813) 886-8899.

Contact Information

Primary practice address
3550 W. Waters Avenue Tampa FL 33614-2716
Phone: (813) 886-8899
Fax: (813) 443-8162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME49256 Florida

Profile Details

NPI number 1891799128
LBN Legal business name Thomas, Mary Issac
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jan 11th, 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 1891799128 NPPES
Florida MEDICAID 047669200

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