Individual
DR. SOPHIE THIBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2200 FOWLER GROVE BLVD STE 220, WINTER GARDEN, FL 34787-5597
(407) 646-0042
(407) 656-0633
Mailing address
2200 FOWLER GROVE BLVD STE 220, WINTER GARDEN, FL 34787-5597
(407) 646-0042
(407) 656-0633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME132235
FL
Other
Enumeration date
05/27/2015
Last updated
02/07/2019
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