Organization
ALPHA SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SCOTT THOMPSON PA-C (MANAGER)
(352) 474-2664
Entity
Organization
Contact information
Practice address
7257 NW 4TH BLVD, #303, GAINESVILLE, FL 32607-1600
(352) 474-2664
Mailing address
7257 NW 4TH BLVD, #303, GAINESVILLE, FL 32607-1600
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
PA9102498
FL
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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