Provider Demographics
NPI:1356335483
Name:NOONE, THOMAS W (MD PA)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:W
Last Name:NOONE
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:100 MADRID BLVD
Mailing Address - Street 2:113
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-7968
Mailing Address - Country:US
Mailing Address - Phone:941-205-5205
Mailing Address - Fax:941-205-5210
Practice Address - Street 1:100 MADRID BLVD
Practice Address - Street 2:113
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-7968
Practice Address - Country:US
Practice Address - Phone:941-205-5205
Practice Address - Fax:941-205-5210
Is Sole Proprietor?:No
Enumeration Date:2005-09-05
Last Update Date:2008-05-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0070664207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL31440OtherBCBS
FL281187100Medicaid
FLE47162Medicare UPIN
FL31440AMedicare ID - Type Unspecified
FL31440OtherBCBS