Provider Demographics
NPI:1326091661
Name:TUREK, THOMAS E (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:E
Last Name:TUREK
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 1:7332 BARCLAY CT
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PARK
Mailing Address - State:FL
Mailing Address - Zip Code:34201-2340
Mailing Address - Country:US
Mailing Address - Phone:941-400-5752
Mailing Address - Fax:941-400-5752
Practice Address - Street 1:7332 BARCLAY CT
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PARK
Practice Address - State:FL
Practice Address - Zip Code:34201-2340
Practice Address - Country:US
Practice Address - Phone:941-400-5752
Practice Address - Fax:941-400-5752
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY38945174400000X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64769656Medicaid
FL000095800Medicaid
KY64769656Medicaid
FL000095800Medicaid
KY0572128Medicare PIN