Thomas, Trevor S

Thomas, Trevor S is an sole proprietor health care provider with primary practice located at 515 N Park Ave Ste 201B , Apopka FL 32712-3653. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Thomas, Trevor S can be contacted via phone (407) 703-5959.

Contact Information

Primary practice address
515 N Park Ave Ste 201B Apopka FL 32712-3653
Phone: (407) 703-5959
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Florida

Profile Details

NPI number 1952686966
LBN Legal business name Thomas, Trevor S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2011
Last updated Oct 21st, 2011 - about 15 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 1952686966 NPPES
Florida MEDICAID 003564600

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