Provider Demographics
NPI:1093806499
Name:PARENTE, THOMAS F (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:F
Last Name:PARENTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 NIGHTINGALE LN
Mailing Address - Street 2:
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-4365
Mailing Address - Country:US
Mailing Address - Phone:352-343-2255
Mailing Address - Fax:352-343-2510
Practice Address - Street 1:2101 NIGHTINGALE LN
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-4365
Practice Address - Country:US
Practice Address - Phone:352-343-2255
Practice Address - Fax:352-343-2510
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME#67135207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL26500OtherBCBS
FLP00078003OtherRRMC
FL376905400Medicaid
FL26500YMedicare PIN
FL376905400Medicaid