Individual
JARED B THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2501 N ORANGE AVE, SUITE 514, ORLANDO, FL 32804-4603
(407) 303-5687
Mailing address
2501 N ORANGE AVE, SUITE 514, ORLANDO, FL 32804-4603
(407) 303-5687
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9106849
FL
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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