Provider Demographics
NPI:1033181821
Name:THOMAS, CHRISTOPHER B (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:B
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6101 BLUE LAGOON DR STE 400
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2051
Mailing Address - Country:US
Mailing Address - Phone:305-500-2000
Mailing Address - Fax:
Practice Address - Street 1:5350 ATLANTIC AVE STE 100
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8112
Practice Address - Country:US
Practice Address - Phone:561-496-5677
Practice Address - Fax:561-496-5824
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2004-0828207Q00000X
FLME 106846207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM202000083OtherPRESBYTERIAN HEALTH/SALUD
P00243213OtherRAILROAD MEDICARE
NM10019729OtherLOVELACE HEALTH/SALUD
AZ953118Medicaid
QMYPR0068406OtherMOLINA
NMNM009W15OtherBCBS
NM13226061Medicaid
P00243213OtherRAILROAD MEDICARE
H71379Medicare UPIN
NM13226061Medicaid