Individual
WILLIAM B. THOMPSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2120 SW 22ND PL, OCALA, FL 34471-7765
(352) 732-5042
(352) 732-6031
Mailing address
2120 SW 22ND PL, OCALA, FL 34471-7765
(352) 732-5042
(352) 732-6031
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME0039566
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039940000
—
FL
01
—
040012995
RAILROAD MEDICARE #
FL
01
—
101058
AVMED PROVIDER NUMBER
FL
01
—
216584
HEALTHEASE/WELLCARE
FL
01
—
42190
BLUE CROSS PROVIDER #
FL
01
—
4544150
AETNA PROVIDER NUMBER
FL
Enumeration date
10/04/2005
Last updated
10/30/2008
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