Provider Demographics
NPI:1538194345
Name:THOMAS, CLAUDIA L (MD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:L
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 MEDICAL PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-7313
Mailing Address - Country:US
Mailing Address - Phone:352-326-8115
Mailing Address - Fax:352-326-4186
Practice Address - Street 1:701 MEDICAL PLAZA DR
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-7313
Practice Address - Country:US
Practice Address - Phone:352-326-8115
Practice Address - Fax:352-326-4186
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD18490207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00142573OtherRR MEDICARE
FL43292OtherBLUE CROSS BLUE SHIELD
FLF22010Medicare UPIN
FL43292OtherBLUE CROSS BLUE SHIELD