Individual
JASMINE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3875 US HIGHWAY 301 S STE 5, RIVERVIEW, FL 33578-3572
(813) 246-3186
Mailing address
3165 GRAND AVE APT 402, PINELLAS PARK, FL 33782-6147
(904) 861-9278
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5603
FL
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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