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Individual

AMBER LEA THOMASSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
5555 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2513
(305) 689-5555
Mailing address
6121 SW 47TH ST, MIAMI, FL 33155-6032
(954) 557-2083

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 9310893
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP 9310893
FL

Other

Enumeration date
07/21/2016
Last updated
02/22/2017
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