Provider Demographics
NPI:1861767683
Name:PLATT, THOMAS HUGH
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:HUGH
Last Name:PLATT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3909 FLAMEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-2028
Mailing Address - Country:US
Mailing Address - Phone:954-963-9035
Mailing Address - Fax:
Practice Address - Street 1:3909 FLAMEWOOD LN
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-2028
Practice Address - Country:US
Practice Address - Phone:954-963-9035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-12
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25582183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist