Individual
DR. MICHELLE MARIE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 S CONGRESS AVE STE 420, BOYNTON BEACH, FL 33426-6588
(561) 336-8180
Mailing address
1901 S CONGRESS AVE, BOYNTON BEACH, FL 33426-6556
(561) 336-8180
(561) 734-6342
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
212150-1
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
ME110035
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150013900
—
NY
Enumeration date
11/02/2006
Last updated
01/14/2019
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