DR. Thomas R Civitella, M.D.

NPI #1851310080 in Port Charlotte, Florida

Provider Information

NPI Number: 1851310080
Entity Type: Individual
Name: DR. Thomas R Civitella, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: Jul 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2595 HARBOR BLVD
Address 2: SUITE 207
City: Port Charlotte
State: Florida
ZIP Code: 33952-6724
Phone: (941) 629-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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