Individual
SASHA ANIKA THIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 GLADES RD # BC71, BOCA RATON, FL 33431-6424
(561) 955-3696
Mailing address
18714 PEPPER PIKE, LUTZ, FL 33558-5303
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30494
FL
Other
Enumeration date
03/27/2020
Last updated
06/23/2020
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