Provider Demographics
NPI:1336470350
Name:CARAWAY, THOMAS (AP)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:CARAWAY
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1954 HOWELL BRANCH RD STE 112
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-1041
Mailing Address - Country:US
Mailing Address - Phone:407-677-9993
Mailing Address - Fax:407-677-9902
Practice Address - Street 1:1954 HOWELL BRANCH RD STE 112
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-1041
Practice Address - Country:US
Practice Address - Phone:407-677-9993
Practice Address - Fax:407-677-9902
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 0024171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist