Individual
CRYSTAL DIAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3360 BURNS RD, PALM BEACH GARDENS, FL 33410-4323
(561) 622-1411
Mailing address
2401 FRIST BLVD STE 4, FORT PIERCE, FL 34950-4800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11022227
FL
Other
Enumeration date
05/11/2023
Last updated
07/18/2024
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