Provider Demographics
NPI:1104220581
Name:THOMAS, PAULE (NP)
Entity Type:Individual
Prefix:
First Name:PAULE
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:NP
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2589 N STATE ROAD 7
Mailing Address - Street 2:CHEN MEDICAL LAUDERHILL, INC
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33313-2778
Mailing Address - Country:US
Mailing Address - Phone:954-714-1264
Mailing Address - Fax:954-714-1271
Practice Address - Street 1:2589 N STATE ROAD 7
Practice Address - Street 2:CHEN MEDICAL LAUDERHILL, INC
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33313-2778
Practice Address - Country:US
Practice Address - Phone:954-714-1264
Practice Address - Fax:954-714-1271
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-14
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9214776363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily