Provider Demographics
NPI:1043260946
Name:THOMAS, NICOLE BRIGETTE (MD)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:BRIGETTE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NICOLE
Other - Middle Name:BRIGETTE
Other - Last Name:THOMAS-HUNTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6766 FOREST HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33413-3321
Mailing Address - Country:US
Mailing Address - Phone:561-966-0015
Mailing Address - Fax:561-966-3911
Practice Address - Street 1:6766 FOREST HILL BLVD
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33413-3321
Practice Address - Country:US
Practice Address - Phone:561-966-0015
Practice Address - Fax:561-966-3911
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060479207R00000X
FLME0061430208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14665OtherMEDICARE
FL371924300Medicaid
FL371924300Medicaid