Search › Florida › 376J00000X
Koshanna Thomas
NPI 1619470994 · on the registry since 2018
Practice
- Address
- 5818 Blackthorn Rd
Jacksonville, FL 32244 - Phone
- (904) 674-4260
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Also registered as
- 372500000X
372600000X
374U00000X
376J00000X
376K00000X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-13
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