Provider Demographics
NPI:1477951333
Name:THOMAS INTERNAL MEDICINE
Entity type:Organization
Organization Name:THOMAS INTERNAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:KUHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-236-2525
Mailing Address - Street 1:PO BOX 479
Mailing Address - Street 2:
Mailing Address - City:FORT MC COY
Mailing Address - State:FL
Mailing Address - Zip Code:32134-0479
Mailing Address - Country:US
Mailing Address - Phone:352-236-2525
Mailing Address - Fax:352-236-8610
Practice Address - Street 1:15035 NE HWY 315
Practice Address - Street 2:
Practice Address - City:FORT MCCOY
Practice Address - State:FL
Practice Address - Zip Code:32134
Practice Address - Country:US
Practice Address - Phone:352-236-2525
Practice Address - Fax:352-236-8610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME113591207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty