Organization
DR THOMAS OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARMAINE THOMAS O.D. (SECRETARY)
(954) 888-6466
Entity
Organization
Contact information
Practice address
1396 SW 160TH AVE, SUITE #2, SUNRISE, FL 33326-1965
(954) 888-6466
(954) 888-6681
Mailing address
1396 SW 160TH AVE, SUITE #2, SUNRISE, FL 33326-1965
(954) 888-6466
(954) 888-6681
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 13656
FL
Other
Enumeration date
02/19/2008
Last updated
07/11/2011
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