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Individual

DR. GLORIA J THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
NEW IMAGE COSMETIC SURGERY, 1350 ORLANDO AVE, WINTER PARK, FL 32789
(407) 774-8001
(407) 389-0825
Mailing address
1040 SEMINOLE DR, #1457, FORT LAUDERDALE, FL 33304-3232
(513) 490-8149

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME87678
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00614052
RAILROAD MEDICARE
FL
Enumeration date
04/18/2007
Last updated
06/19/2023
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