Individual
MR. JEFFERY DEAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
5901 SUN BLVD, SUITE 113, ST PETERSBURG, FL 33715-1166
(727) 867-7910
(727) 867-6379
Mailing address
5901 SUN BLVD, SUITE 113, ST PETERSBURG, FL 33715-1166
(727) 867-7910
(727) 867-6379
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2396
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291360700
—
FL
Enumeration date
11/23/2005
Last updated
09/26/2013
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