Individual
DR. JOHN MICHAEL THOMASSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 E COMMERCIAL BLVD, SUITE 103, FT LAUDERDALE, FL 33308-4229
(954) 771-0200
(954) 208-5171
Mailing address
2800 E COMMERCIAL BLVD, SUITE 103, FT LAUDERDALE, FL 33308-4229
(954) 771-0200
(954) 208-5171
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
0101231653
VA
208200000X
Plastic Surgery Physician
MD 33673
DC
208200000X
Plastic Surgery Physician
Primary
ME 95272
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276131900
—
FL
Enumeration date
08/08/2006
Last updated
03/18/2013
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