| Organization Name: | ANNIE THOMAS MD PA |
| NPI Number: | 1326237074 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNIE THOMAS (OWNER) |
| Mailing Address: | 3684 Tampa Road Unit 3 Oldsmar |
| State: | FL US |
| Postal Code: | 346776351 |
| Phone Number: | 8138184516 |
| Fax Number: | 8138552809 |
| NPI Enumeration Date: | 10/18/2007 |
| NPI Last Update Date: | 07/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | ME41930 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |