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NPI Code Detail

MEDICARE: DR. TEMPERANCE MONETIN THOMAS ED. D.

MEDICARE: DR. TEMPERANCE MONETIN THOMAS ED. D.
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1437453784
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TEMPERANCE MONETIN THOMAS ED. D.
Provider Business Mailing Address
First Line : 1750 TRIBUTORY LN
Second Line :
City : PORT ORANGE
State : FL
Zip : 32128-4049
Country : US
Telephone Number : 901-466-6967
Fax Number :
Provider Business Practice Location Address
First Line : 565 MEMORIAL CIR
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-5001
Country : US
Telephone Number : 386-310-8766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2010
Last Update Date : 11/21/2019

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