Individual
DR. JOHNATHAN H THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1321
(863) 284-1786
Mailing address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
(904) 450-6401
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
78645
GA
207XX0801X
Orthopaedic Trauma Physician
Primary
OS15270
FL
207XX0801X
Orthopaedic Trauma Physician
OT015575
PA
208D00000X
General Practice Physician
UO2822
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024956000
—
FL
Enumeration date
08/24/2011
Last updated
10/19/2022
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