Individual
EILEEN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3033 WINKLER AVE UNIT 270, FORT MYERS, FL 33916-9581
(239) 343-3552
(239) 468-7970
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3552
(239) 468-7970
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
PA9114023
FL
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
PA9114023
FL
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131939000
—
FL
Enumeration date
08/22/2016
Last updated
07/31/2026
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