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Individual

DR. DEREK BERESFORD THORPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4022 BLANDING BLVD, JACKSONVILLE, FL 32210-5417
(904) 778-8799
(904) 778-8799
Mailing address
4022 BLANDING BLVD, JACKSONVILLE, FL 32210-5417
(904) 778-8799
(904) 778-8468

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
TRN11858
FL

Other

Enumeration date
10/24/2007
Last updated
08/03/2010
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