Individual
NOAH THAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 COLLEGE AVE., FT LAUDERDALE, FL 33314
(954) 336-3762
Mailing address
3301 COLLEGE AVE., FT LAUDERDALE, FL 33314-7796
(954) 336-3762
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
36002225A
IN
2255A2300X
Athletic Trainer
Primary
AL4706
FL
Other
Enumeration date
10/20/2015
Last updated
12/12/2016
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