Individual
THI LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1894 MERCHANTS ROW BLVD APT 2511, TALLAHASSEE, FL 32311-8806
(706) 248-5078
Mailing address
1894 MERCHANTS ROW BLVD APT 2511, TALLAHASSEE, FL 32311-8806
(706) 248-5078
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA892
FL
Other
Enumeration date
03/27/2023
Last updated
11/09/2023
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