| Dr Jacqueline Thomas, DO | |
|
3200 S University Dr, Suite 4345 Ziff Building, Davie, FL 33328-2018 | |
| (954) 262-1647 | |
| (954) 262-3981 |
| Full Name | Dr Jacqueline Thomas |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 20 Years |
| Location | 3200 S University Dr, Davie, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740518430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | OS 9917 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Joseph Onorato Md Pc | 6800801655 | 14 |
| Vitalmd Group Holding Llc | 8921091786 | 488 |
| Entity Name | Vitalmd Group Holding Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871572032 PECOS PAC ID: 8921091786 Enrollment ID: O20040406001878 |
| Entity Name | Collier Boulevard Hma Physician Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508098344 PECOS PAC ID: 5092840975 Enrollment ID: O20100317000422 |
| Entity Name | Joseph Onorato M D P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225680317 PECOS PAC ID: 6800801655 Enrollment ID: O20191023002346 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacqueline Thomas, DO 13800 Tamiami Trl N Ste 112, Naples, FL 34110-6204 Ph: (239) 500-7546 | Dr Jacqueline Thomas, DO 3200 S University Dr, Suite 4345 Ziff Building, Davie, FL 33328-2018 Ph: (954) 262-1647 |
Dr. Marianna Larisa Blyumin-karasik, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3501 S University Dr, Suite 5, Davie, FL 33328 Phone: 954-998-0345 Fax: 954-998-0344 | |
Dr. Latanya Tamara Benjamin, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5200 S University Dr Ste 102, Davie, FL 33328 Phone: 954-242-4275 Fax: 954-530-5562 | |
Dr. Brian Steven Portnoy, D.O. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3200 S University Dr, Sanford L. Ziff Building, 3rd Floor, Davie, FL 33328 Phone: 954-262-4100 Fax: 954-262-2271 |