Individual
DR. DIANE ANTOINETTE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
901 45TH ST, MANGONIA PARK, FL 33407-2413
(561) 882-6494
(561) 841-9953
Mailing address
700 S ROSEMARY AVE STE 204, WEST PALM BEACH, FL 33401-6310
(917) 250-3380
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
273447
NY
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
ME161062
FL
Other
Enumeration date
05/03/2010
Last updated
08/23/2023
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