Provider Demographics
NPI:1639203581
Name:SOKOL, THOMAS (PMHNP)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:SOKOL
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1575 PINE RIDGE RD
Mailing Address - Street 2:SUITE 16
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109
Mailing Address - Country:US
Mailing Address - Phone:239-734-3481
Mailing Address - Fax:239-236-7982
Practice Address - Street 1:1575 PINE RIDGE RD
Practice Address - Street 2:SUITE 16
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109
Practice Address - Country:US
Practice Address - Phone:239-734-3481
Practice Address - Fax:239-236-7982
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1592862363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE3828WOtherMEDICARE
FLY09XKOtherBCBS
FL006251200Medicaid
FLE3828YMedicare ID - Type Unspecified
FL006251200Medicaid