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NPI Code Detail

MEDICARE: DR. VALERIE B THOMAS MD

MEDICARE: DR. VALERIE B 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
1208000000XPediatrics PhysicianME53846FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
107887OTHERFLBCBS

General Provider Information

NPI Number : 1053353086
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VALERIE B THOMAS MD
Provider Business Mailing Address
First Line : 1603 BANNING BEACH RD
Second Line :
City : TAVARES
State : FL
Zip : 32778-2024
Country : US
Telephone Number : 352-343-2167
Fax Number : 352-343-4699
Provider Business Practice Location Address
First Line : 1603 BANNING BEACH RD
Second Line :
City : TAVARES
State : FL
Zip : 32778-2024
Country : US
Telephone Number : 352-343-2167
Fax Number : 352-343-4699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 07/08/2007

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Directions to “ DR. VALERIE B THOMAS MD” Practice Location

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