Wells, Thomas David
Wells, Thomas David is an individual health care provider with primary practice located at 10,000 Bay Pines Blvd , Bay Pines FL 33708-0000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wells, Thomas David can be contacted via phone (727) 398-6661.Contact Information
Primary practice address
10,000 Bay Pines Blvd
Bay Pines FL 33708-0000
Phone: (727) 398-6661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME57848 | Florida |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME57848 | Florida |
Profile Details
| NPI number | 1700975406 |
|---|---|
| LBN Legal business name | Wells, Thomas David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Apr 16th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700975406 | NPPES |
| Florida | MEDICAID | 063312700 |
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