Individual
ELIZABETH THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1645 E HWY 50 STE 202, CLERMONT, FL 34711-5199
(408) 580-3084
(407) 295-4195
Mailing address
1645 E HWY 50 STE 202, CLERMONT, FL 34711-5199
(408) 580-3084
(407) 295-4195
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7807
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889855300
—
FL
Enumeration date
01/29/2007
Last updated
12/31/2007
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