Individual
GEO THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13841 NW 23RD ST, PEMBROKE PINES, FL 33028-2623
(954) 529-4593
Mailing address
13841 NW 23RD ST, PEMBROKE PINES, FL 33028-2623
(954) 529-4593
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11025772
FL
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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