Thompson, Cody Edward

Thompson, Cody Edward is an sole proprietor health care provider with primary practice located at 625 6Th Ave S Ste 450 , St Petersburg FL 33701-4629. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Thompson, Cody Edward can be contacted via phone (727) 898-2663.

Contact Information

Primary practice address
625 6Th Ave S Ste 450 St Petersburg FL 33701-4629
Phone: (727) 898-2663
Fax: (727) 568-6836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9103535 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9103535 Florida

Profile Details

NPI number 1619953114
LBN Legal business name Thompson, Cody Edward
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2005
Last updated Aug 9th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619953114 NPPES
Florida MEDICAID 292378500

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