| Thomas Weight Loss Management System, Llc | |
|
12015 Whitmarsh Ln Tampa FL 33626-1737 | |
| (813) 597-0202 | |
| (813) 425-9043 |
| Full Name | Thomas Weight Loss Management System, Llc |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 12015 Whitmarsh Ln, Tampa, Florida |
| Authorized Official Name and Position | Stanley M Thomas (PHYSICIAN) |
| Authorized Official Contact | 8135970202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Weight Loss Management System, Llc 12015 Whitmarsh Ln Tampa FL 33626-1737 Ph: (813) 597-0202 | Thomas Weight Loss Management System, Llc 12015 Whitmarsh Ln Tampa FL 33626-1737 Ph: (813) 597-0202 |
| NPI Number | 1649457482 |
|---|---|
| Provider Enumeration Date | 01/23/2008 |
| Last Update Date | 01/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649457482 | NPI | - | NPPES |
| 04002 | Other | FL | BCBS OF FLORIDA |
| 222672 | Other | FL | AMEDRIGROUP |
| 263232200 | Medicaid | FL | |
| P00289057 | Other | FL | RAILROAD MEDICARE |
| 514769328 | Other | FL | CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME82489 (Florida) | Secondary |
| 261QH0100X | Clinic/center - Health Service | ME82489 (Florida) | Primary |
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