Thomas Jacob Seales
Adult Reconstructive Orthopaedic Surgeon
1034 Mar Walt Dr Unit 100
Fort Walton Beach
, Florida 32547-6637
Thomas Jacob Seales
Adult Reconstructive Orthopaedic Surgeon
1034 Mar Walt Dr Unit 100
Fort Walton Beach
, Florida 32547-6637
(850) 863-2153
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Thomas Jacob Seales
- Po Box 740923
- Atlanta, GA
- Zip : 30374-0923
- Phone : (850) 863-2153
Second Address
- Thomas Jacob Seales
- 1034 Mar Walt Dr Unit 100
- Fort Walton Beach, FL
- Zip : 32547-6637
- Phone : (850) 863-2153
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 131396 | FL |
National Provider Identifier
| NPI | 1104184951 |
|---|---|
| Provider Name | Thomas Jacob Seales |
| First Address | Atlanta, GA 30374-0923 |
| Second Address | Fort Walton Beach, FL 32547-6637 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2012 |
| Last Update Date | 28/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02171200 | (05) | FL |
| 14092927 | CAQH (01) | FL |
| ON9E7 | BCBS (01) | FL |
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.