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Individual

STEPHEN W THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
83 W MILLER ST, ORLANDO, FL 32806-2031
(321) 843-9792
Mailing address
2699 LEE RD, SUITE 510, WINTER PARK, FL 32789-1753
(407) 896-9500
(407) 896-9585

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME 47822
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
042637700
FL
Enumeration date
05/13/2006
Last updated
01/21/2010
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