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NPI Code Detail

MEDICARE: ANDREA THOMAS

MEDICARE:   ANDREA  THOMAS
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1104711027
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA THOMAS
Provider Business Mailing Address
First Line : 8800 PINE FOREST RD APT 5203
Second Line :
City : PENSACOLA
State : FL
Zip : 32534-5323
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 684 WYNNEHURST ST
Second Line :
City : PENSACOLA
State : FL
Zip : 32503-2436
Country : US
Telephone Number : 601-818-0415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2025
Last Update Date : 06/11/2025

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Directions to “ ANDREA THOMAS ” Practice Location

Language Start Address Practice Location
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