# CHRISTINE T THOMAS MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750456513
- **Authorized official:** CHRISTINE T THOMAS MD PA (PHYSICIAN)
- **Authorized official phone:** (321) 752-9722

## Contact information

- **Practice address:** 2571 W EAU GALLIE BLVD STE 1, MELBOURNE, FL 32935-8954
- **Practice address phone:** (321) 752-9722
- **Practice address fax:** (321) 752-9710
- **Mailing address:** 2571 W EAU GALLIE BLVD STE 1, MELBOURNE, FL 32935-8954
- **Mailing address phone:** (321) 752-9722
- **Mailing address fax:** (321) 752-9710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME77228 | FL | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 10/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1639159262 | NPI | FL |
| 05 | — | 263914900 | — | FL |