| Thomas A Digeronimo Md Pa | |
|
3302 W Baker St Plant City FL 33563-2851 | |
| (813) 752-1336 | |
| (813) 754-6914 |
| Full Name | Thomas A Digeronimo Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3302 W Baker St, Plant City, Florida |
| Authorized Official Name and Position | Thomas A Digeronimo (OWNER PHYSICIAN) |
| Authorized Official Contact | 8137521336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas A Digeronimo Md Pa 3302 W Baker St Plant City FL 33563-2851 Ph: (813) 752-1336 | Thomas A Digeronimo Md Pa 3302 W Baker St Plant City FL 33563-2851 Ph: (813) 752-1336 |
| NPI Number | 1134274673 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 06/24/2009 |
| Medicare PECOS PAC ID | 4688774623 |
|---|---|
| Medicare Enrollment ID | O20080826000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134274673 | NPI | - | NPPES |
| 250908300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Glenn Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073656203 PECOS PAC ID: 5092889287 Enrollment ID: I20080806000426 |
| Provider Name | Thomas Digeronimo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134102973 PECOS PAC ID: 4385719475 Enrollment ID: I20080825000577 |
| Provider Name | Sheri L Mehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952720237 PECOS PAC ID: 9133346331 Enrollment ID: I20140812001734 |
| Provider Name | Maria G Romero Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619364643 PECOS PAC ID: 7517266042 Enrollment ID: I20160504000966 |
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