Queiroz, Thiago
Queiroz, Thiago is an sole proprietor health care provider with primary practice located at 300 Se 2Nd St Ste 600 , Fort Lauderdale FL 33301-1950. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Queiroz, Thiago can be contacted via phone (786) 395-5082.Contact Information
Primary practice address
300 Se 2Nd St Ste 600
Fort Lauderdale FL 33301-1950
Phone: (786) 395-5082
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9108907 | Florida |
Profile Details
| NPI number | 1346618477 |
|---|---|
| LBN Legal business name | Queiroz, Thiago |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2015 |
| Last updated | Mar 23rd, 2026 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346618477 | NPPES |
| Florida | MEDICAID | 018798200 |
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