Wells, Thomas David

Wells, Thomas David is an individual health care provider with primary practice located at 10,000 Bay Pines Blvd , Bay Pines FL 33708-0000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wells, Thomas David can be contacted via phone (727) 398-6661.

Contact Information

Primary practice address
10,000 Bay Pines Blvd Bay Pines FL 33708-0000
Phone: (727) 398-6661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME57848 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X ME57848 Florida

Profile Details

NPI number 1700975406
LBN Legal business name Wells, Thomas David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Apr 16th, 2014 - about 11 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 1700975406 NPPES
Florida MEDICAID 063312700

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