Doctor Name: | TOM A PLEASANTS |
NPI Number: | 1306895164 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O |
License Number: | OS05751 |
Business Practice Address: | 13856 N Dale Mabry Hwy Tampa, FL - 336182420 |
Business Phone Number: | 8132641885 |
Business Fax Number: | 8139686438 |
Mailing Address: | 1515 Pleasant Harbour Way, TAMPA |
State: | FL |
Postal Code: | 336025966 |
Phone Number: | 8137286633 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2006 |
NPI Last Update Date: | 06/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS05751 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |