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Individual

ASHLEE PAIGE THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1250 S HARBOR CITY BLVD, MELBOURNE, FL 32901-3242
(321) 725-8919
Mailing address
1250 S HARBOR CITY BLVD, MELBOURNE, FL 32901-3242
(321) 725-8919

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11013182
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11013182
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113249100
FL
Enumeration date
05/26/2021
Last updated
01/19/2023
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