Provider Demographics
NPI:1881878643
Name:THOMAS, JOHN CAMERON (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CAMERON
Last Name:THOMAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7777 N WICKHAM RD STE 12-238
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-7979
Mailing Address - Country:US
Mailing Address - Phone:678-324-6963
Mailing Address - Fax:678-456-9125
Practice Address - Street 1:7777 N WICKHAM RD STE 12-238
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-7979
Practice Address - Country:US
Practice Address - Phone:678-324-6963
Practice Address - Fax:321-218-9898
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14424111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor