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Individual
DR. THOMPSON JEFFREY FILLMER
Active
Individual
DR. THOMPSON JEFFREY FILLMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS20844
FL
390200000X
Student in an Organized Health Care Education/Training Program
UO7944
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123122700
—
FL
Enumeration date
06/24/2021
Last updated
09/04/2024
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