Provider Demographics
NPI:1336138239
Name:SWEENEY, THOMAS MEDRICK II (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MEDRICK
Last Name:SWEENEY
Suffix:II
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5922 CATTLEMEN LN
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-6217
Mailing Address - Country:US
Mailing Address - Phone:941-371-9773
Mailing Address - Fax:941-556-0341
Practice Address - Street 1:5922 CATTLEMEN LN
Practice Address - Street 2:SUITE 201
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6217
Practice Address - Country:US
Practice Address - Phone:941-371-9773
Practice Address - Fax:941-556-0341
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0073895207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL245563OtherAVMED
FL41686OtherBLUE SHIELD OF FLORIDA
FL200013078OtherMEDICARE RR
FL3243327OtherAETNA
FL1079570OtherFIRST HEALTH
FL1079570OtherFIRST HEALTH
FLG61697Medicare UPIN
FL1079570OtherFIRST HEALTH