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Organization

J DEREK THOMPSON MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
J DEREK THOMPSON MD (OWNER)
(352) 343-8284
Entity
Organization

Contact information

Practice address
1210 WATERMAN WAY, TAVARES, FL 32778-5229
(352) 343-8284
(352) 343-8218
Mailing address
1210 WATERMAN WAY, TAVARES, FL 32778-5229
(352) 343-8284
(352) 343-8218

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME51022
FL

Other

Enumeration date
03/18/2008
Last updated
07/22/2008
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