Shirlette Debra Thomas, Physician Assistant
Physician Assistant in Fort Myers, FL. Individual provider (NPI-1).
NPI number1760784656
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1760784656
- Entity type
- Individual (NPI-1)
- Name
- Shirlette Debra Thomas
- Credential
- Physician Assistant
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 26, 2010
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA 9105819 | FL | Yes |
| 363A00000X | Physician Assistant | 014451 | NY |
Practice location
13340 Metro Pkwy Ste 310Fort Myers, FL 33966-4818
Phone 239-343-1105 · Fax 239-343-1106
Mailing address
Po Box 2147Fort Myers, FL 33902-2147
Phone 239-424-1449 · Fax 239-424-1423
Other practice locations
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