Doctor Name: | ADALINE SULLIVAN THOMAS |
NPI Number: | 1295734143 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP 1379282 |
Business Practice Address: | 618 S Forest Ave Apopka, FL - 327035338 |
Business Phone Number: | 4078866201 |
Business Fax Number: | 4078863822 |
Mailing Address: | 1051 Golfside Dr, WINTER PARK |
State: | FL |
Postal Code: | 327925127 |
Phone Number: | 4076777047 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | ARNP 1379282 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |