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Individual

JOHN DEREK THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME51022
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
281069700
FL
Enumeration date
12/13/2006
Last updated
06/25/2026
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