Individual
ALCEHA DOROTTA MAYNE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2301 SW 84TH WAY, MIRAMAR, FL 33025-5135
(954) 488-4345
Mailing address
2301 SW 84TH WAY, MIRAMAR, FL 33025-5135
(954) 488-4345
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9228962
FL
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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