Healthcare Provider Details

I. General information

NPI: 1639300247
Provider Name (Legal Business Name): ANN THOMAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2009
Last Update Date: 08/21/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8440 LAKE WORTH RD STE 240
WELLINGTON FL
33467
US

IV. Provider business mailing address

7593 W BOYNTON BEACH BLVD STE 220
BOYNTON BEACH FL
33437-6162
US

V. Phone/Fax

Practice location:
  • Phone: 561-433-0500
  • Fax:
Mailing address:
  • Phone: 561-649-7000
  • Fax: 561-641-1754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA09010200
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME154313
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: