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Jaicy Thottam
Family Nurse Practitioner in Coral Springs, Florida
NPI 1558952788

Jaicy Thottam is a Family Nurse Practitioner based in Coral Springs, FL and is specialized in Family. Jaicy Thottam practices in Coral Springs, FL. The NPI Number for Jaicy Thottam is 1558952788 and holds a License No. 11009721 (Florida).

The current practice location address for Jaicy Thottam is 4931 Nw 110 Way, Coral Springs, FL and can be reached out via phone at 917-363-0464.

Location: 4931 Nw 110 Way, Coral Springs, FL, 33076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558952788
Provider Name
Jaicy Thottam
Credential
Provider Entity Type
Individual
Gender
Female
Address
4931 Nw 110 Way, Coral Springs, FL, 33076
Phone Number
917-363-0464
Fax Number
Provider Enumeration Date
01/31/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4931 Nw 110 Way
City
Coral Springs
State
Florida
Zip
33076
Phone Number
917-363-0464
Fax Number
person
Provider Business Mailing Address Details
Address
4931 Nw 110 Way
City
Coral Springs
State
Florida
Zip
33076
Phone Number
917-363-0464
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11009721 (Florida)
Definition
Definition to come...
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