Individual
AUSTIN L THOMPSON
Active
Individual
AUSTIN L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA9102744
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9102744
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292620200
—
FL
01
—
P00640457
RAILROAD MEDICARE
FL
01
—
U8586Z
MEDICARE PTAN
FL
01
—
Y00JA
BCBS
FL
Enumeration date
02/21/2006
Last updated
03/26/2025
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