Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | ME82802 | FL |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | ME82802 | FL |
NPI | 1770507873 |
---|---|
Provider Name | Dr. Giovana R Thomas |
First Address | Miami, FL 33136-2107 |
Second Address | Miami, FL 33136-2107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 02/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2674564-00 | (05) | FL |
79076 | (02) | FL |
F79557 | (02) | FL |