Individual
MR. DAVID MALCOM THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5925 IMPERIAL PKWY, SUITE 128, MULBERRY, FL 33860-8476
(863) 214-8653
(863) 937-9210
Mailing address
5925 IMPERIAL PKWY, SUITE 128, MULBERRY, FL 33860-8476
(863) 214-8653
(863) 937-9210
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT1596
FL
Other
Enumeration date
11/10/2012
Last updated
11/10/2012
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