National Provider Identifier Database

THOMAS J CONNOLLY, MD05/25 – NPI #1093708125
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

THOMAS J CONNOLLY, MD05/25
2121 PARK ST
JACKSONVILLE, FL32204-3811
Phone: 904-387-6200
Fax: 904-387-0261
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for THOMAS J CONNOLLY

NPI Number 1093708125
Credentials MD05/25
Entity Individual
Enumeration date 08/24/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME 85592
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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