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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