Individual
DR. ANDREA DORTCH THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
16555 NW 25TH AVE, OPA LOCKA, FL 33054-6583
(786) 466-1735
Mailing address
11104 PARKVIEW CIRCLE DR STE 30, FORT WAYNE, IN 46845-1733
(954) 732-2371
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
PS35006
FL
Other
Enumeration date
02/29/2008
Last updated
05/01/2018
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