Mr. Dwan Samuel Thomas Sr., MEDICAIDPROVIDER
Mr. Dwan Samuel Thomas Sr., MEDICAIDPROVIDER is a Community Health Worker in Ocala, Florida. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2 Redwood TrceOcala, FL 34472-6297
Phone: (352) 433-8457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1942952536 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MEDICAIDPROVIDER |
| Sole proprietor | No |
| NPI enumerated | January 25, 2022 |
| Last updated in NPPES | January 25, 2022 |
| Certification date | January 25, 2022 |
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