MEDICARE: ASHLEY J THOMAS D.O.

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	207Q00000X	Family Medicine Physician	OS23077	FL
2	207Q00000X	Family Medicine Physician	81299	WI
3	390200000X	Student in an Organized Health Care Education/Training Program
4	207Q00000X	Family Medicine Physician	009666	AZ

General Provider Information

NPI Number	:	1376108134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY J THOMAS D.O.

Provider Business Mailing Address
First Line	:	525 OKEECHOBEE BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-6349
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 OKEECHOBEE BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-6349
Country	:	US
Telephone Number	:	561-804-0200
Fax Number	:

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

Provider Enumeration Date	:	05/07/2019
Last Update Date	:	05/06/2026

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