Organization
THE DOCTOR'S OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENTON D THRASHER M.D. (OWNER)
(386) 882-8221
Entity
Organization
Contact information
Practice address
409 S DIXIE HWY, LAKE WORTH, FL 33460-4442
(561) 582-5433
(561) 585-0074
Mailing address
409 S DIXIE HWY, LAKE WORTH, FL 33460-4442
(561) 582-5433
(561) 585-0074
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
ME77922
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003975954
NPI
FL
Enumeration date
07/25/2010
Last updated
08/02/2010
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