MEDICARE: DR. NANCY EVE THOMAS MD

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
1	207W00000X	Ophthalmology Physician	4554	DC
2	207W00000X	Ophthalmology Physician	ME139041	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1366437964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY EVE THOMAS MD

Provider Business Mailing Address
First Line	:	900 NW 17TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1119
Country	:	US
Telephone Number	:	305-243-2020
Fax Number	:	202-363-4400

Provider Business Practice Location Address
First Line	:	900 NW 17TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1119
Country	:	US
Telephone Number	:	305-243-2020
Fax Number	:	202-363-4400

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	04/11/2019

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