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1992717417
JOLLY THOMAS
LEESBURG, FL
NPI
1992717417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME96580)
Enumeration Date
2006-08-13
Last Update Date
2018-10-01
Business Address
JOLLY THOMAS M.D.
801 E. DIXIE AVENUE SUITE 101
LEESBURG, FL 34748
Phone number: 352-326-4031
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Mailing Address
JOLLY THOMAS M.D.
P.O. BOX 616788
ORLANDO, FL 32861-6788
Phone number: 407-447-7105
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