SearchFlorida1223X0400X

Thyagaseely Premaraj, B.D.S, PHD

NPI 1790083822 · on the registry since 2011

Practice

Address
3200 S University Dr
Davie, FL 33328
Phone
(954) 262-7213
Fax
(954) 262-7355
Organisation at this address
Mobilederm, Inc.
Nova Southeastern University, Inc
Nova Southeastern University, Inc
Nova Southeastern University, Inc
Nova Southeastern University, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
623

Registry record

Primary taxonomy
1223X0400X
1223X0400X
Also registered as
1223X0400X
Licence states on file
NE, FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-09-23

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