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Individual

DR. MICHAEL J THRASHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
1001 W CHERRY ST STE A, KISSIMMEE, FL 34741-4111
(407) 360-1960
(407) 360-9146
Mailing address
1001 W CHERRY ST STE A, KISSIMMEE, FL 34741-4111
(407) 360-1960
(407) 360-9146

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
19017
PR
208D00000X
General Practice Physician
Primary
ACN941
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ACN941
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
03/18/2015
Last updated
09/16/2019
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