Individual
KAREN S THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
700 DOCTORS CT, LEESBURG, FL 34748-7314
(352) 787-9838
(352) 787-8705
Mailing address
700 DOCTORS CT, LEESBURG, FL 34748-7314
(352) 787-9838
(352) 787-8705
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
OS15058
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023537300
—
FL
01
—
IB01F
BCBS
FL
01
—
OS15058
STATE MEDICAL LICENSE
FL
Enumeration date
07/06/2006
Last updated
06/05/2020
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