Individual
DR. KIMBERLY NOELLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
551 NATIONAL HEALTH CARE DR, DAYTONA BEACH, FL 32114-1495
(386) 323-7500
Mailing address
3900 YORKTOWNE BLVD APT 1305, PORT ORANGE, FL 32129-6011
(386) 682-3328
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001818
PA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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