Provider Demographics
NPI:1548358955
Name:BEAMAN, THOMAS FRANKLIN (DO)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:FRANKLIN
Last Name:BEAMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13716 EAGLES WALK DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33762-5583
Mailing Address - Country:US
Mailing Address - Phone:727-432-1217
Mailing Address - Fax:
Practice Address - Street 1:1290 S MISSOURI AVE
Practice Address - Street 2:SUITE B
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-9183
Practice Address - Country:US
Practice Address - Phone:727-462-0225
Practice Address - Fax:727-446-1421
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS6084207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL055894000Medicaid
FL80531BMedicare ID - Type UnspecifiedMEDICARE NUMBER
FL055894000Medicaid