Thomas Weight Loss Management System, LLC

Organization Active NPI Health Service Clinic/Center · Tampa, FL

NPI 1649457482 · NPPES record last updated Jan 27, 2009

Key facts

NPI
1649457482
Entity type
Organization (NPI type 2)
Primary specialty
Health Service Clinic/Center 261QH0100X
License
ME82489 (FL)
Legal business name
THOMAS WEIGHT LOSS MANAGEMENT SYSTEM, LLC
Practice address
12015 Whitmarsh LN
Tampa, FL 33626-1737
Phone
(813) 597-0202
Fax
(813) 425-9043
NPI assigned
Jan 23, 2008
Organization subpart
No

Authorized official

Name
Dr. Stanley M Thomas, M.D.
Title
Physician
Phone
(813) 597-0202

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ME82489 FL Yes
Primary Care Clinic/Center 261QP2300X ME82489 FL

Addresses

Primary practice location

12015 Whitmarsh LN
Tampa, FL 33626-1737

Mailing address

12015 Whitmarsh LN
Tampa, FL 33626-1737
Phone (813) 597-0202

Other identifiers

IdentifierTypeStateIssuer
04002OtherFLBCBS OF FLORIDA
222672OtherFLAMEDRIGROUP
263232200MedicaidFL
P00289057OtherFLRAILROAD MEDICARE
514769328OtherFLCHAMPUS

Other providers in Tampa, FL

All providers in Tampa, FL · Health Service Clinic/Center in Florida

Sources for this page

Verify at the official NPI Registry.