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NPI Code Detail

MEDICARE: DR. NICOLE BRIGETTE THOMAS M.D.

MEDICARE: DR. NICOLE BRIGETTE THOMAS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician060479GA
2208M00000XHospitalist PhysicianME0061430FL
3207R00000XInternal Medicine PhysicianME0061430FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
114665OTHERFLMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043260946
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICOLE BRIGETTE THOMAS M.D.
Provider Business Mailing Address
First Line : 6766 FOREST HILL BLVD
Second Line :
City : GREENACRES
State : FL
Zip : 33413-3321
Country : US
Telephone Number : 561-966-0015
Fax Number : 561-966-3911
Provider Business Practice Location Address
First Line : 6766 FOREST HILL BLVD
Second Line :
City : GREENACRES
State : FL
Zip : 33413-3321
Country : US
Telephone Number : 561-966-0015
Fax Number : 561-966-3911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 04/06/2026

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