Thomas, Damita L.
Thomas, Damita L. is an individual health care provider with primary practice located at 52 W Underwood St , Orlando FL 32806-1110. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as her primary health care specialty. Thomas, Damita L. can be contacted via phone (321) 842-8475.Contact Information
Primary practice address
52 W Underwood St
Orlando FL 32806-1110
Phone: (321) 842-8475
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | ME 108980 | Florida |
Profile Details
| NPI number | 1538369228 |
|---|---|
| LBN Legal business name | Thomas, Damita L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2007 |
| Last updated | Mar 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538369228 | NPPES |
| Florida | MEDICAID | 003929900 | |
| Florida | Other | 14H70 | |
| Florida | Other | FH175X | |
| Florida | Other | PS578 |
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