Individual
SUZANNE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
983 MAYPOLE DR, APOPKA, FL 32703-8307
(321) 201-5320
Mailing address
983 MAYPOLE DR, APOPKA, FL 32703-8307
(321) 201-5320
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
RN9388077
FL
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108455700
—
FL
Enumeration date
12/12/2022
Last updated
12/12/2022
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