Travis R Thomas, LPN
Licensed Practical Nurse in Gainesville, FL. Individual provider (NPI-1).
NPI number1336745397
StatusActive
Last updated in NPPESDec 7, 2020
Details
- NPI
- 1336745397
- Entity type
- Individual (NPI-1)
- Name
- Travis R Thomas
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 7, 2020
- Certification date
- Dec 7, 2020
- Last updated
- Dec 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN5236925 | FL | Yes |
Practice location
4300 Sw 13th StGainesville, FL 32608-4006
Phone 352-374-5600
Mailing address
4300 Sw 13th StGainesville, FL 32608-4006
Phone 352-374-5600
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