Provider Demographics
NPI:1033313770
Name:THOMAS ANDREW AGUERO D C P A
Entity type:Organization
Organization Name:THOMAS ANDREW AGUERO D C P A
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNERPRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:AGUERO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:813-350-0109
Mailing Address - Street 1:3720 W DALE AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3904
Mailing Address - Country:US
Mailing Address - Phone:813-350-0109
Mailing Address - Fax:813-876-7162
Practice Address - Street 1:3720 W DALE AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3904
Practice Address - Country:US
Practice Address - Phone:813-350-0109
Practice Address - Fax:813-876-7162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7520111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU72727Medicare UPIN
FLE1537Medicare ID - Type Unspecified