Individual
JAIME THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(813) 870-4000
Mailing address
PO BOX 10030, DAYTONA BEACH, FL 32120-0030
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
ME103836
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001130100
—
FL
01
—
145EN
FLORIDA BC BS
—
Enumeration date
07/25/2008
Last updated
10/21/2010
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