Individual provider · Type 1 NPI
Mark Edmund Thompson, DO
Therapeutic Radiology Physician · Lake City, FL
NPI number
1487646030
Active
Practice location
4520 W US Highway 90
Lake City, FL 32055-8341
Fax (352) 755-0602
Mailing address
104 Woodmont Blvd Ste 500
Nashville, TN 37205-2245
Other practice locations
- 8787 Bryan Dairy Rd Ste 120, Largo, FL 33777-1252 · (727) 320-0200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiation Oncology Physician | 2085R0001X | OS10194 (FL) |
| Therapeutic Radiology Physician Primary | 2085R0203X | OS10194 (FL) |
Therapeutic Radiology Physician: Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
3 other providers at this address
About NPI 1487646030
Mark Edmund Thompson, DO's National Provider Identifier is 1487646030, issued on Aug 19, 2005. The primary taxonomy on file is Therapeutic Radiology Physician (2085R0203X), and the practice location is in Lake City, FL. The record was last updated on May 5, 2025.