Individual
BARRY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6677
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6677
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN9250937
FL
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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