Individual
MRS. PAULETTE PURDY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1823 LONGWOOD KEY DR N, JACKSONVILLE, FL 32218-3474
(904) 757-9173
(904) 757-4264
Mailing address
1823 LONGWOOD KEY DR N, JACKSONVILLE, FL 32218-3474
(904) 757-9173
(904) 757-4264
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693572901
—
FL
05
—
693572902
—
FL
05
—
693572996
—
FL
Enumeration date
09/15/2010
Last updated
09/15/2010
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