Individual
DR. MICHAEL JOSEPH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, RD
Contact information
Practice address
927 45TH ST STE 206, MANGONIA PARK, FL 33407-2450
(561) 558-1212
Mailing address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
(305) 662-3723
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DN0000432
DE
133VN1004X
Pediatric Nutrition Registered Dietitian
DN004323
PA
208000000X
Pediatrics Physician
306423-01
NY
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME161154
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2011
Last updated
06/09/2023
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