Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME0073895 | FL |
NPI | 1336138239 |
---|---|
Provider Name | Dr. Thomas Medrick Sweeney II |
First Address | Sarasota, FL 34232-6217 |
Second Address | Sarasota, FL 34232-6217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2005 |
Last Update Date | 13/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1079570 | FIRST HEALTH (01) | FL |
200013078 | MEDICARE RR (01) | FL |
245563 | AVMED (01) | FL |
3243327 | AETNA (01) | FL |
41686 | BLUE SHIELD OF FLORIDA (01) | FL |
BS5333783 | FEDERAL DEA (01) | |
G61697 | (02) | FL |