Individual provider · Type 1 NPI

Courtney Thompson

Surgical Physician Assistant · Winter Park, FL

NPI number 1942783642 Active

Practice location

2055 Glenwood Dr
Winter Park, FL 32792-3307

Call (407) 645-3555 Map

Mailing address

5412 46th Ave N
St. Petersburg, FL 33709-3812

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1942783642

Courtney Thompson's National Provider Identifier is 1942783642, issued on Sep 10, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Winter Park, FL. The record was last updated on Sep 10, 2018.