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NPI Code Detail

MEDICARE: THAMAR MAURICE FNP

MEDICARE:   THAMAR  MAURICE  FNP
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
1164W00000XLicensed Practical Nurse5182385FL
2363LF0000XFamily Nurse Practitioner11003272FL

General Provider Information

NPI Number : 1225276769
Entity Type Code : Individual
Provider Name (Legal Business Name) : THAMAR MAURICE FNP
Provider Business Mailing Address
First Line : 99 NW 183RD ST STE 120
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33169-4518
Country : US
Telephone Number : 786-446-7470
Fax Number : 786-434-6423
Provider Business Practice Location Address
First Line : 99 NW 183RD ST STE 120
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33169-4518
Country : US
Telephone Number : 786-446-7470
Fax Number : 786-434-6423
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2009
Last Update Date : 07/11/2025

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Directions to “ THAMAR MAURICE FNP” Practice Location

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