Thais Lee Proenza

NPI 1508292566 · on the registry since 2013 · sole proprietor

Practice

Address: 1414 Nw 107th Ave Ste 109
Sweetwater, FL 33172
Phone: (786) 762-2952
Organisation at this address: Diez Medical Llc
Mks Counseling Llc
Reserva Rehab Center
Dolphin Rehab Center
Kim Medical Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 63

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-05-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida