Organization
EHEALTH PROVISIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LILLY THOMPSON NP (NP)
(941) 404-5453
Entity
Organization
Contact information
Practice address
1435 S OSPREY AVE STE 200, SARASOTA, FL 34239-2905
(941) 404-5453
Mailing address
1435 S OSPREY AVE, SUITE 200, SARASOTA, FL 34239
(941) 404-5453
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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