Individual
MICHAEL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
101 SOUTH BUMBY AVE, E11, ORLANDO, FL 32803
(407) 733-5911
Mailing address
1815 FIRWOOD CT, ORLANDO, FL 32818-5809
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5217390
FL
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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