person
Cody Edward Thompson, PA
Medical Physician Assistant in St Petersburg, Florida
NPI 1619953114

Cody Edward Thompson is a Medical Physician Assistant based in St Petersburg, FL and is specialized in Medical. Cody Edward Thompson practices in St Petersburg, FL and has the professional credentials of PA. The NPI Number for Cody Edward Thompson is 1619953114 and holds a License No. PA9103535 (Florida).

The current practice location address for Cody Edward Thompson is 625 6Th Ave S Ste 450, St Petersburg, FL and can be reached out via phone at 727-898-2663 and via fax at 727-568-6836.

Location: 625 6Th Ave S Ste 450, St Petersburg, FL, 33701-4629
person
Provider Profile Details
NPI Number
1619953114
Provider Name
Cody Edward Thompson
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
625 6Th Ave S Ste 450, St Petersburg, FL, 33701-4629
Phone Number
727-898-2663
Fax Number
727-568-6836
Provider Enumeration Date
12/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
292378500 05 FL
institution
Provider Business Practice Location Address Details
Address
625 6Th Ave S Ste 450
City
State
Zip
33701-4629
Phone Number
727-898-2663
Fax Number
727-568-6836
person
Provider Business Mailing Address Details
Address
625 6Th Ave S Ste 450
City
State
Zip
33701-4629
Phone Number
727-898-2663
Fax Number
727-568-6836
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9103535 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9103535 (Florida)
Definition
Definition to come...
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