Individual
SUSAN J THOMAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1613 HARRISON PKWY, SUITE 200, SUNRISE, FL 33323-2853
(954) 838-2371
Mailing address
PO BOX 840237, PEMBROKE PINES, FL 33084-2237
(954) 831-2371
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME 59086
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12669
BCBS
FL
Enumeration date
01/11/2006
Last updated
07/08/2007
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