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Organization

CHRISTINE T THOMAS MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE T THOMAS MD PA (PHYSICIAN)
(321) 752-9722
Entity
Organization

Contact information

Practice address
2571 W EAU GALLIE BLVD STE 1, MELBOURNE, FL 32935-8954
(321) 752-9722
(321) 752-9710
Mailing address
2571 W EAU GALLIE BLVD STE 1, MELBOURNE, FL 32935-8954
(321) 752-9722
(321) 752-9710

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME77228
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1639159262
NPI
FL
05
263914900
FL
Enumeration date
11/21/2006
Last updated
10/06/2008
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