Provider Demographics
NPI:1508364704
Name:THOMAS, DANA ALEXANDER (APRN)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:ALEXANDER
Last Name:THOMAS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2767 S STATE ROAD 7 STE 300
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-9444
Mailing Address - Country:US
Mailing Address - Phone:561-723-3295
Mailing Address - Fax:
Practice Address - Street 1:2767 S STATE ROAD 7 STE 300
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-9444
Practice Address - Country:US
Practice Address - Phone:561-723-3295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-23
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9295120363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily