David Malcom Thomas

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMT1596 Issued in FL

Practice address

5925 Imperial Pkwy
Suite 128
Mulberry, FL 33860-8476

Phone

(863) 214-8653

Fax

(863) 937-9210

NPI assigned

Nov 10, 2012

Last updated

Nov 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352505600000",
    "number": "1972847119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 IMPERIAL PKWY",
            "address_2": "SUITE 128",
            "city": "MULBERRY",
            "state": "FL",
            "postal_code": "338608476",
            "telephone_number": "863-214-8653",
            "fax_number": "863-937-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 IMPERIAL PKWY",
            "address_2": "SUITE 128",
            "city": "MULBERRY",
            "state": "FL",
            "postal_code": "338608476",
            "telephone_number": "863-214-8653",
            "fax_number": "863-937-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DAVID",
        "middle_name": "MALCOM",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-10",
        "last_updated": "2012-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT1596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel R Sloan
• Angela Smith, LDO
• Suzanne Kathleen Smith, O.D.
• David Michael Swager, RPH.
• Laurie Ann Sweeney, RPH
• Tanesha V Thomas
• Leo Tran, DMD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5035)
• Wal-Mart Stores East, LP (Vision Center 30-5035)
• David O Washington, MD

• Marriage & Family Therapist in Mulberry, FL
• Providers in Mulberry, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.