Organization
FLORIDA UROGYNECOLOGY AND RECONSTRUCTIVE PELVIC SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON R THOMPSON MD (PRESIDENT)
(904) 653-0373
Entity
Organization
Contact information
Practice address
6885 BELFORT OAKS PL, SUITE 210, JACKSONVILLE, FL 32216-6234
(904) 652-0373
(904) 652-0378
Mailing address
6885 BELFORT OAKS PL, SUITE 210, JACKSONVILLE, FL 32216-6234
(904) 652-0373
(904) 652-0378
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
03/27/2008
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