Individual
DR. JIMMY CARTER THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.MIN.
Contact information
Practice address
630 POPE AVE NW, WINTER HAVEN, FL 33881-4665
(863) 293-1087
(863) 292-2083
Mailing address
630 POPE AVE NW, WINTER HAVEN, FL 33881-4665
(863) 293-1087
(863) 292-2083
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 0454
FL
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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