Provider Demographics
NPI:1538900600
Name:THOMAS, MARIE SYLVIE
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:SYLVIE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 SOUTHERN PECAN CIR UNIT 201
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-6344
Mailing Address - Country:US
Mailing Address - Phone:321-914-9659
Mailing Address - Fax:
Practice Address - Street 1:201 SOUTHERN PECAN CIR UNIT 201
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-6344
Practice Address - Country:US
Practice Address - Phone:321-914-9659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL449004376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide