St. Thomas University, INC

NPI #1689177099 in Miami Gardens, Florida

Provider Information

NPI Number
1689177099
Entity Type
Organization
Organization Name
St. Thomas University, INC
Primary Specialty
Family Medicine
Enumeration Date
Mar 12, 2018
Last Updated
Mar 12, 2018

Practice Location

Address
16401 NW 37TH AVE
State
Florida
ZIP Code
33054-6313
Phone
(972) 367-4845

Authorized Official

Name
MOUZON BASS III
Title
ADMINISTRATOR
Phone
(972) 367-4845

Specialties & Taxonomy Codes

Specialty
Family Medicine

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