Provider Demographics
NPI:1871581900
Name:TOMAS, ROBERT E (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:TOMAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12650 WORLD PLAZA LANE, BUILDING 72
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907
Mailing Address - Country:US
Mailing Address - Phone:239-243-8222
Mailing Address - Fax:239-236-1595
Practice Address - Street 1:12650 WORLD PLAZA LN BLDG 72
Practice Address - Street 2:SUITE 1
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3987
Practice Address - Country:US
Practice Address - Phone:239-243-8222
Practice Address - Fax:239-236-1595
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-12
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9878208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL276615900Medicaid
8A2750OtherBCBS
TX031381901Medicaid
00908LMedicare ID - Type Unspecified
8A2750OtherBCBS
TXH06469Medicare UPIN