Individual
THOMAS MAMROSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-7590
(305) 585-7580
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-7590
(305) 585-7580
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN3329952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN3329952
RN LICENSE
FL
Enumeration date
03/26/2018
Last updated
03/26/2018
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