Individual
MRS. YOLANDA REID THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 649-6878
(321) 843-2172
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 649-6878
(321) 843-2172
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9104662
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9104662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000212500
—
FL
01
—
PA9104662
MEDICAL LICENSE
FL
Enumeration date
09/19/2008
Last updated
05/18/2023
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