Individual provider · Type 1 NPI
Evan R. Thomas, PA
Medical Physician Assistant · St. Petersburg, FL
NPI number
1588312680
Active
Practice location
1700 66th St N Ste 510
St. Petersburg, FL 33710-5512
Fax (727) 345-2300
Mailing address
8207 113th St
Seminole, FL 33772-4128
Other practice locations
- 8207 113th St, Seminole, FL 33772-4128 · (727) 397-3991
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA9115388 (FL) |
Medical Physician Assistant: Definition to come...
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About NPI 1588312680
Evan R. Thomas, PA's National Provider Identifier is 1588312680, issued on Mar 17, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Petersburg, FL. The record was last updated on Mar 17, 2022.