Individual
JO ANN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
25092 OLYMPIA AVE UNIT 500, PUNTA GORDA, FL 33950-3935
(941) 575-0123
(941) 575-4191
Mailing address
25092 OLYMPIA AVE UNIT 500, PUNTA GORDA, FL 33950-3935
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 2836
FL
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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