Provider Demographics
NPI:1558145771
Name:THOMAS, CARI (CDL B END: PS)
Entity Type:Individual
Prefix:
First Name:CARI
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:CDL B END: PS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 UNDERWOOD AVE APT 410D
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-8839
Mailing Address - Country:US
Mailing Address - Phone:810-334-0522
Mailing Address - Fax:
Practice Address - Street 1:711 UNDERWOOD AVE APT 410D
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8839
Practice Address - Country:US
Practice Address - Phone:810-334-0522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLT520112919210343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)