Thomas, Derell P

Thomas, Derell P is an sole proprietor health care provider with primary practice located at 4000 Hollywood Blvd Ste 555S , Hollywood FL 33021-6853. He recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as his primary health care specialty. Thomas, Derell P can be contacted via phone (954) 843-3502.

Contact Information

Primary practice address
4000 Hollywood Blvd Ste 555S Hollywood FL 33021-6853
Phone: (954) 843-3502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1639823644
LBN Legal business name Thomas, Derell P
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2022
Last updated Feb 8th, 2022 - 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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