Individual
DR. WILLA LEANAH THORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 NW 10TH AVE BLDG ROOM369, MIAMI, FL 33136-1012
(305) 213-2823
(305) 243-3919
Mailing address
1501 NW 10TH AVENUE, BIOMEDICAL RESEARCH BUILDING ROOM 369, MIAMI, FL 33136
(305) 213-2823
(305) 243-3919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A137741
CA
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
ME113650
FL
208000000X
Pediatrics Physician
A137741
CA
Other
Enumeration date
04/15/2008
Last updated
07/21/2022
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