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Crystal
Crystal
Thomas
Physician assistant
Registered nurse
Riviera Beach,
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
CRYSTAL THOMAS
Job Title
Physician Assistant
Location
Riviera Beach, FL, USA
LIC ID
11447
Current License Expiration Date
31/01/2026
Original Date
17/12/2014
Professional Rank Code
PA
Effective Date
26/01/2015
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
PALM BEACH
Practice Location Address Line 1
7305 N Military Trl
Practice Location Address Line 2
West Palm Beach
Practice Location Address City
WEST PALM BCH
Practice Location Address State
FL
Practice Location Address Zipcode
33410
Mode Code
Prescribing
Prescribing Indicator
Y
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