Provider Demographics
NPI:1326272733
Name:ANNE LORD-TOMAS, D.O., P.A.
Entity Type:Organization
Organization Name:ANNE LORD-TOMAS, D.O., P.A.
Other - Org Name:U-FIRST SURGERY & GYNECOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:LORD
Authorized Official - Last Name:TOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:239-243-8222
Mailing Address - Street 1:13300-56 S CLEVELAND AVE, #318
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-3871
Mailing Address - Country:US
Mailing Address - Phone:239-243-8222
Mailing Address - Fax:239-236-1595
Practice Address - Street 1:12640 WORLD PLAZA LN BLDG 71
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3987
Practice Address - Country:US
Practice Address - Phone:239-243-8222
Practice Address - Fax:239-236-1595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-13
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9883207VG0400X
FLOS9878208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU8346ZMedicare UPIN
FLU8746ZMedicare UPIN