DR. ANDREA DORTCH THOMAS (NPI# 1134399579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134399579 |
Entity Type | Individual |
Full Name | DR. ANDREA DORTCH THOMAS |
Credential | PHARMD |
Practice Address |
16555 Nw 25th Ave Opa Locka FL 33054-6583 |
Mailing Address |
11104 Parkview Circle Dr Ste 30 Fort Wayne IN 46845-1733 |
Practice Telephone | 7864661735 |
Mailing Telephone | 9547322371 |
Enumeration Date | 2008-02-29 |
Last Update Date | 2018-05-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | PS35006 | FL | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710596440 | Andrea Thomas | Social Worker | 43555 Fleetwood Ct, Canton, MI 48187-4911 | 2020-07-28 |
1427552132 | Andrea Thomas | Registered Nurse | 15628 Fire Creek Ln, Fort Worth, TX 76177-2149 | 2018-03-19 |
1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
1952640120 | Andrea Antoinette Thomas | Registered Nurse | 8203 S Palm Dr, Apt 215, Pembroke Pines, FL 33025-4593 | 2013-02-08 |
1063733970 | Andrea Marie Thomas | Licensed Practical Nurse | 1115 E Archwood Ave, Akron, OH 44306-2857 | 2010-06-15 |
1841445129 | Andrea Marie Thomas | Licensed Practical Nurse | 5106 Coulson Dr, Dayton, OH 45418-2035 | 2008-11-30 |
1497931026 | Andrea L. Thomas | Social Worker | 711 Saint Andrews Blvd Ste A, Charleston, SC 29407-7196 | 2008-01-14 |
1942499629 | Andrea Thomas | Massage Therapist | 811 E Burnside St Ste 218, Portland, OR 97214-1231 | 2007-10-18 |
1740475359 | Andrea Thomas | Licensed Practical Nurse | 2210 Crestwood Dr, Anderson, IN 46016-2750 | 2007-09-07 |
1093312225 | Andrea N Thomas | Specialist/Technologist, Other | 1320 Cimarron Pkwy, Atlanta, GA 30350-6857 | 2020-10-01 |
Street Address |
16555 NW 25TH AVE |
City | OPA LOCKA |
State | FL |
Zip Code | 33054-6583 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306848015 | Kelvin Dexter Trocard | Pharmacist | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2005-08-12 |
1114381183 | Mercedes Rita Garcia | Obstetrics & Gynecology | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2016-04-06 |
1063696714 | Alvena S Johnson | Pharmacist | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2007-12-18 |
1568644839 | Ronald W Pelham | Pharmacist | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2007-11-28 |
1164596003 | Public Health Trust of Dade County Florida | Clinic/Center | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2006-11-20 |
1437223856 | Public Health Trust of Miami Dade County Florida | Clinic/Center | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2006-11-17 |
1295806016 | Public Health Trust of Dade County Florida | Pharmacy | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2006-11-13 |
1245264225 | Ana M Sanchez-medio | Social Worker | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2006-07-10 |
1366471864 | Hernaldo Nunez | Family Medicine | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2006-06-30 |
1629005624 | Isabel Cordoba Reyes | Pediatrics | 16555 Nw 25th Ave, Opa Locka, FL 33054-6583 | 2006-06-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770148611 | Arc Dialysis North Dade LLC | Clinic/Center | 1986 Opa Locka Blvd, Opa Locka, FL 33054 | 2019-05-07 |
1497215735 | Empowering Minds, Inc | Community/Behavioral Health | 13311 Alexandria Dr, Opa Locka, FL 33054 | 2019-03-22 |
1366976672 | Center for Family and Child Enrichment Inc. | Community/Behavioral Health | 3999 Northwest 163st, Miami, FL 33054 | 2017-04-13 |
1861924748 | Yudeslanni Fernandez Lang | Behavior Technician | 2970 Nw 161 St, Miami, FL 33054 | 2017-03-30 |
1811439862 | Ana Alfaro | Behavior Technician | 1155 Kasin St, Opa Locka, FL 33054 | 2016-11-08 |
1114376795 | Yanelis Diaz Rodriguez | Behavior Technician | 13920 Nw 22nd Pl, Opa Locka, FL 33054 | 2016-06-06 |
1912392986 | Angel Yasiel Ramos | Internal Medicine | 1986 Opa-locka Boulevard, Opa-locka, FL 33054 | 2015-04-06 |
1992109409 | Taylor Wilmoth | Specialist/Technologist | 15600 Nw 32nd Avenue, Attn: Taylor Wilmoth, Miami, FL 33054 | 2014-10-13 |
1265844997 | J.s Rx Inc | Pharmacy | 1970 Opa Locka Blvd, Opa Locka, FL 33054 | 2014-05-29 |
1689877508 | Nuevo Renacer Alf,corp. | Assisted Living Facility | 540 N. Perviz Avenue, Opa Locka, FL 33054 | 2007-06-07 |
Find all providers in zip 33054 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295116150 | Therapy Rehab Center | Clinic/Center | 4060 Nw 132nd St Unit H, Opa Locka, FL 33054-4531 | 2015-06-16 |
1063658714 | Care One Medical Center | Clinic/Center | 490 Fisherman St, Opa Locka, FL 33054-3818 | 2008-12-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497356455 | Holistic Care LLC | Clinic/Center | 1108 Kane Concourse Ste 205, Bay Harbor Islands, FL 33154-2068 | 2020-11-05 |
1417558651 | Eclipse Wellness Center | Clinic/Center | 3015 S Congress Ave Ste 7, Palm Springs, FL 33461-2111 | 2020-11-04 |
1003416843 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2465 N Orange Blossom Trail, Kissimmee, FL 34744 | 2020-10-30 |
1679173926 | Haven Medical Center, Inc. | Clinic/Center | 11961 N Florida Ave, Tampa, FL 33612-5213 | 2020-10-27 |
1134729494 | Anchor Plus Wellness Center, LLC | Clinic/Center | 5951 Nw 151st St Ste 205, Miami Lakes, FL 33014-2445 | 2020-10-27 |
1396344016 | Magic Steps Therapy LLC | Clinic/Center | 281 Nw 59th Ct, Miami, FL 33126-4749 | 2020-10-23 |
1194324046 | Fine Therapy and Rehab Center Corp | Clinic/Center | 10300 Sw 72nd St Ste 123, Miami, FL 33173-3001 | 2020-10-21 |
1659979243 | B&b Medical Center Inc | Clinic/Center | 219 Ne 8th Ave, Hialeah, FL 33010-5116 | 2020-10-15 |
1386242055 | A & P Therapy Services, LLC | Clinic/Center | 2061 Sw 150th Ave, Miami, FL 33185-5689 | 2020-10-14 |
1467059741 | Aaa Physicians Group | Clinic/Center | 109 Terra Mango Loop Ste B, Orlando, FL 32835-8511 | 2020-10-08 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.