Dr. Thomas J Connolly
Adolescent Medicine
2121 Park St
Jacksonville
, Florida 32204-3811
Dr. Thomas J Connolly
Adolescent Medicine
2121 Park St
Jacksonville
, Florida 32204-3811
(904) 387-0261
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Thomas J Connolly
- 2121 Park St
- Jacksonville, FL
- Zip : 32204-3811
- Fax : (904) 387-0261
- Phone : (904) 387-6200
Second Address
- Dr. Thomas J Connolly
- 2121 Park St
- Jacksonville, FL
- Zip : 32204-3811
- Fax : (904) 387-0261
- Phone : (904) 387-6200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | ME 85592 | FL |
National Provider Identifier
| NPI | 1093708125 |
|---|---|
| Provider Name | Dr. Thomas J Connolly |
| First Address | Jacksonville, FL 32204-3811 |
| Second Address | Jacksonville, FL 32204-3811 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2005 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.