PANCHAMI THOMAS

LAKE WALES, FL
NPI1336689819
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  ARNP 9253922)
Enumeration Date2017-03-02
Last Update Date2019-09-24
Business Address
PANCHAMI THOMAS APRN
410 S 11TH ST
LAKE WALES, FL 33853-4203
Phone number: 863-678-2200
Mailing Address
PANCHAMI THOMAS APRN
3835 MISTY LANDING DR
VALRICO, FL 33594-4802
Phone number: 727-424-8419
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