Individual
ANN MARIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANRP
Contact information
Practice address
250 N WICKHAM RD, MELBOURNE, FL 32935-8625
(321) 752-1200
Mailing address
5020 BANANA AVE, COCOA, FL 32926-2005
(318) 422-5570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11000657
FL
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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