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Organization
CHRISTINE T THOMAS MD PA
Active
Organization
CHRISTINE T THOMAS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE T THOMAS MD PA (PHYSICIAN)
(321) 752-9722
Entity
Organization
Contact information
Practice address
2571 W EAU GALLIE BLVD STE 1, MELBOURNE, FL 32935-8954
(321) 752-9722
(321) 752-9710
Mailing address
2571 W EAU GALLIE BLVD STE 1, MELBOURNE, FL 32935-8954
(321) 752-9722
(321) 752-9710
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME77228
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639159262
NPI
FL
05
—
263914900
—
FL
Enumeration date
11/21/2006
Last updated
10/06/2008
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