Individual
MS. MEREDITH LEIGH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1401
(321) 434-1667
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
232558
NY
363AS0400X
Surgical Physician Assistant
PA04975
TX
363AS0400X
Surgical Physician Assistant
Primary
PA9115907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117865200
—
FL
05
—
208057401
—
VA
05
—
208057402
—
TX
01
—
273899YPWZ
MEDICARE GROUP PTAN
TX
01
—
327288YV3C
MEDICARE PTAN
TX
01
—
891N49
BCBS
TX
01
—
D07564
MEDICARE RR PALMETTO
TX
01
—
DQ5280
MEDICARE RR PALMETTO
TX
01
—
QU188
HFPSI
FL
01
—
QU189
HFMG
FL
01
—
TXB149935
PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
TX
Enumeration date
11/16/2006
Last updated
05/16/2023
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