Individual
TREVOR S THOMAS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 N PARK AVE STE 201B, APOPKA, FL 32712-3653
(407) 703-5959
Mailing address
515 N PARK AVE STE 201B, APOPKA, FL 32712-3653
(407) 703-5959
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003564600
—
FL
Enumeration date
10/21/2011
Last updated
10/21/2011
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