Jaicy Thottam

NPI # 

Practice Address:

4931 Nw 110 Way

Coral Springs, FL, 33076

Practice Phone:

917-363-0464

License Number:

11009721

License State:

FL

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Family

Taxonomy Code:

363LF0000X

Updated by NPPES on 1/31/2021. You can view the original data set for NPI # 1558952788 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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