Individual
MELISSA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6TH MEDICAL GROUP, MACDILL AFB, 3250 ZEMKE AVE, TAMPA, FL 33621
(813) 827-9809
Mailing address
12920 WHITTINGTON CT, LARGO, FL 33773-1873
(412) 258-5048
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND10353
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21028795
DRIVERS
PA
Enumeration date
12/13/2021
Last updated
12/13/2021
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