Provider Demographics
NPI:1962064071
Name:THOMAS, SOFIA (DNP, FNP-C, CNN-NP)
Entity type:Individual
Prefix:DR
First Name:SOFIA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DNP, FNP-C, CNN-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6901 OKEECHOBEE BLVD # D5H28
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2511
Mailing Address - Country:US
Mailing Address - Phone:561-283-1040
Mailing Address - Fax:
Practice Address - Street 1:6901 OKEECHOBEE BLVD # D5H28
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2511
Practice Address - Country:US
Practice Address - Phone:561-283-1040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-28
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11003004363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner