| Martech Investment Corporation, Lizzy Thomas Md | |
|
1024 Florida Ave S Suite B Rockledge FL 32955-2152 | |
| (321) 636-8032 | |
| (321) 639-2277 |
| Full Name | Martech Investment Corporation, Lizzy Thomas Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 1024 Florida Ave S, Rockledge, Florida |
| Authorized Official Name and Position | Lizzy R Thomas (PRESIDENT) |
| Authorized Official Contact | 3216368032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martech Investment Corporation, Lizzy Thomas Md 1024 Florida Ave S Suite B Rockledge FL 32955-2152 Ph: (321) 636-8032 | Martech Investment Corporation, Lizzy Thomas Md 1024 Florida Ave S Suite B Rockledge FL 32955-2152 Ph: (321) 636-8032 |
| NPI Number | 1821183062 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 12/19/2023 |
| Medicare PECOS PAC ID | 1850566894 |
|---|---|
| Medicare Enrollment ID | O20111202000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821183062 | NPI | - | NPPES |
| 037462800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lizzy R Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255368924 PECOS PAC ID: 0749455269 Enrollment ID: I20111213000150 |
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