Thernelus, Marc Amos
Thernelus, Marc Amos is an individual health care provider with primary practice located at 2600 Westhall Ln , Maitland FL 32751-7102. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Thernelus, Marc Amos can be contacted via phone (407) 200-2273.Contact Information
Primary practice address
2600 Westhall Ln
Maitland FL 32751-7102
Phone: (407) 200-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9113565 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9113565 | Florida |
Profile Details
| NPI number | 1225611130 |
|---|---|
| LBN Legal business name | Thernelus, Marc Amos |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2021 |
| Last updated | Jan 2nd, 2023 - about 3 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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