Individual
MRS. CLARA E ST THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12401 MIRAMAR PKWY, MIRAMAR, FL 33027-2900
(954) 538-8473
(954) 538-8479
Mailing address
19111 SW 8TH ST, PEMBROKE PINES, FL 33029-6014
(954) 885-8108
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
ND1125
FL
363LF0000X
Family Nurse Practitioner
Primary
ARNP9248728
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8108439-00
—
FL
Enumeration date
04/27/2006
Last updated
04/24/2014
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