Individual
CHARLES ANTHONY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4771 S CLEVELAND AVE, FORT MYERS, FL 33907-1317
(239) 343-9800
(239) 343-9848
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9800
(239) 343-9848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.133936
OH
207Q00000X
Family Medicine Physician
Primary
ME153136
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0302273
—
OH
05
—
113264400
—
FL
Enumeration date
04/15/2015
Last updated
10/30/2024
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