Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 36982 | FL |
NPI | 1194946228 |
---|---|
Provider Name | Thomas Joseph Abrunzo |
First Address | Tampa, FL 33609-4010 |
Second Address | Tampa, FL 33609-4010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 08/07/2007 |