Individual
MERI ANNE THACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-7514
Mailing address
6509 BRIDGECREST DR, LITHIA, FL 33547-4864
(910) 987-1866
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9390124
FL
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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