Thomas, Rebecca Nicole

Thomas, Rebecca Nicole is an individual health care provider with primary practice located at 305 W Central Ave , Lake Wales FL 33853-4015. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Thomas, Rebecca Nicole can be contacted via phone (863) 855-9718.

Contact Information

Primary practice address
305 W Central Ave Lake Wales FL 33853-4015
Phone: (863) 855-9718
Fax: (863) 855-9737
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME118537 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1033408984
LBN Legal business name Thomas, Rebecca Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2011
Last updated Oct 13th, 2017 - about 7 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 1033408984 NPPES
Florida MEDICAID 012316800

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