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Individual

HEATHER THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
11100 SUMMER RIDGE LANE, FORT MYERS, FL 33908-4064
(239) 344-2348
(239) 479-5194
Mailing address
PO BOX 919771, ORLANDO, FL 32891-9771
(239) 278-3600
(239) 226-4650

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ARNP9237051
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003957100
FL
01
FH218Z
MEDICARE
FL
Enumeration date
07/29/2011
Last updated
09/01/2021
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