Thomas, Janelle O

Thomas, Janelle O is an individual health care provider with primary practice located at 5950 S Florida Ave , Lakeland FL 33813-2532. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Thomas, Janelle O can be contacted via phone (863) 688-3550.

Contact Information

Primary practice address
5950 S Florida Ave Lakeland FL 33813-2532
Fax: (863) 687-8969
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP865862 Florida

Profile Details

NPI number 1780642322
LBN Legal business name Thomas, Janelle O
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated May 29th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780642322 NPPES
Florida MEDICAID 301044900

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