Thomas A. Tomlin M.D. PA
Family Medicine in Ponte Vedra Beach, FL. Organization (NPI-2).
NPI number1033430871
StatusActive
Last updated in NPPESJun 16, 2010
Details
- NPI
- 1033430871
- Entity type
- Organization (NPI-2)
- Legal business name
- Thomas A. Tomlin M.D. PA
- Organization subpart
- No
- Enumeration date
- Jun 16, 2010
- Last updated
- Jun 16, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Ponte Vedra Medical Center (Doing Business As)
Practice location
1100 Sawgrass Village DrSuite 100
Ponte Vedra Beach, FL 32082-5048
Phone 904-285-9355 · Fax 904-285-7442
Mailing address
3948 3rd St S # 384Jacksonville Beach, FL 32250-5847
Phone 904-285-9355 · Fax 904-285-7442
Authorized official
Thomas A. Tomlin
Managing Partner
9042859355
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