MEDICARE: JOJI 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
1	247100000X	Radiologic Technologist	CRT79273	FL

General Provider Information

NPI Number	:	1588028690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOJI THOMAS

Provider Business Mailing Address
First Line	:	1489 N MILITARY TRL STE 217
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6057
Country	:	US
Telephone Number	:	561-712-1285
Fax Number	:

Provider Business Practice Location Address
First Line	:	1489 N MILITARY TRL STE 217
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6057
Country	:	US
Telephone Number	:	561-712-1285
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2016
Last Update Date	:	04/06/2016

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Directions to “ JOJI THOMAS ” Practice Location

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