Individual
JASON R THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6885 BELFORT OAKS PLACE STE 210, JACKSONVILLE, FL 32216
(904) 652-0373
(904) 652-0378
Mailing address
6885 BELFORT OAKS PLACE STE 210, JACKSONVILLE, FL 32216
(904) 652-0373
(904) 652-0378
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME 72049
FL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
ME72049
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261828100
—
FL
Enumeration date
11/08/2006
Last updated
08/07/2015
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