Organization
EHEALTH PROVISIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM LILLY THOMSON APRN (AUTHORIZED REP /NURSE PRACTITIONER)
(941) 298-0045
Entity
Organization
Contact information
Practice address
1435 S OSPREY AVE STE 200, SARASOTA, FL 34239-2905
(941) 404-5453
Mailing address
1435 S OSPREY AVE STE 200, SARASOTA, FL 34239-2905
(941) 298-0045
(941) 279-3145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
10/14/2024
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