Provider Demographics
NPI:1447292339
Name:TRUNCALE, THOMAS (DO, MPH)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:TRUNCALE
Suffix:
Gender:M
Credentials:DO, MPH
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Mailing Address - Street 1:16109 TURNBURY OAK DR
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556
Mailing Address - Country:US
Mailing Address - Phone:813-340-7626
Mailing Address - Fax:813-979-3606
Practice Address - Street 1:13000 BRUCE B DOWNS BLVD
Practice Address - Street 2:BOX 111C
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612
Practice Address - Country:US
Practice Address - Phone:813-972-2000
Practice Address - Fax:813-979-3606
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2016-06-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS7302207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG43672Medicare UPIN