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Dana Maria Lee Thomas

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1952 Excalibur Dr, Orlando, FL 32822-8344

PECOS Enrollment

This provider is enrolled in PECOS as DANA THOMAS.

Based on the most recent information from CMS, provider Dana Maria Lee Thomas is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1629520028
Provider Type
Individual
Full Name
Thomas, Dana Maria Lee
Credential
FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
11/1/2016
Last Updated
3/10/2022

Contact Information

Practice Location

1952 Excalibur Dr, Orlando, FL 32822-8344

(386) 871-0333

Unlisted Fax

Mailing Location

305 Winged Elm Dr, Debary, FL 32713-4861

(386) 871-0333

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN9232556 Florida
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License 9232556 Florida

Dana Maria Lee Thomas

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Dale, Kimberly

Rios Hernandez, Yolanda

Bertot, Kimberly

Buckner, Althea M

Caballero, Heidy

Fernandez Herrera, Andres M

Geltz, Brittany

Aponte, Luis Angel

Nelson Soto, Anthony

Riley, Tamika Alena