Individual
COURTNEY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2055 GLENWOOD DR, WINTER PARK, FL 32792-3307
(407) 645-3555
Mailing address
5412 46TH AVE N, SAINT PETERSBURG, FL 33709-3812
(727) 744-8946
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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