Individual
MR. PATRICK THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
120 HEALTH PARK BLVD STE 1, SAINT AUGUSTINE, FL 32086-5798
(904) 819-1010
(904) 819-1040
Mailing address
PO BOX 3266, ST AUGUSTINE, FL 32085-3266
(904) 518-1299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9102388
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9102388
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174540001
DMERC CIGNA GOUT SVCS
FL
Enumeration date
06/08/2006
Last updated
03/15/2023
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