Search › Florida › 103TC0700X
John Thibodeau, PHD
NPI 1962506188 · on the registry since 2006
Practice
- Address
- 296 New Waterford Pl
Longwood, FL 32779 - Phone
- (321) 972-5693
- Fax
- (321) 972-5693
- Organisation at this address
- John R Thibodeau Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-07-01
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