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TOMAS JACOME MD NPI 1225141229


NPI Profile

NPI: 1225141229
Provider Name: TOMAS JACOME, MD
Classification:Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
9981 S HEALTHPARK DR
FORT MYERS, FL
ZIP 33908
Get Directions

Phone: (239) 343-2606

Tomas Jacome, MD is a pediatric emergency medicine pediatrics in Fort Myers, FL. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Tomas Jacome, MD NPI is 1225141229. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9981 S HEALTHPARK DR
FORT MYERS, FL
ZIP 33908
Phone: (239) 343-2606
Fax: (239) 343-3695

The NPI 1225141229 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 5/23/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0204XPediatricsPediatric Emergency MedicineME25395FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1250936900MEDICAIDFLORIDA
255061OTHERFLORIDABCBS
3214084OTHERFLORIDAAMERIGROUP
4226495OTHERFLORIDAAVMED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/14/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.