Provider Demographics
NPI:1427841766
Name:WOOD, THOMAS ADAM (APRN)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:ADAM
Last Name:WOOD
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8224 47TH STREET CIR E
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-8509
Mailing Address - Country:US
Mailing Address - Phone:941-405-7430
Mailing Address - Fax:
Practice Address - Street 1:2055 WOOD ST STE 202
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-7929
Practice Address - Country:US
Practice Address - Phone:941-413-3280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9384201163W00000X
FL11020524363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse