Provider Demographics
NPI:1508939000
Name:THOMAS, ERIN RICE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:RICE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2607 SHOMA DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33414-4363
Mailing Address - Country:US
Mailing Address - Phone:561-282-6443
Mailing Address - Fax:
Practice Address - Street 1:1021 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-5117
Practice Address - Country:US
Practice Address - Phone:561-333-9331
Practice Address - Fax:561-792-2918
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA9102959363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical