Traci Thompson MD, PA
Internal Medicine in Tampa, FL. Organization (NPI-2).
NPI number1043984875
StatusActive
Last updated in NPPESAug 9, 2021
Details
- NPI
- 1043984875
- Entity type
- Organization (NPI-2)
- Legal business name
- Traci Thompson MD, PA
- Organization subpart
- No
- Enumeration date
- Aug 4, 2021
- Certification date
- Aug 9, 2021
- Last updated
- Aug 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Papillon Consulting (Doing Business As)
Practice location
904 E Henry AveTampa, FL 33604-7143
Phone 813-501-7796
Mailing address
14714 Tudor Chase DrTampa, FL 33626-3339
Phone 410-493-3901
Authorized official
Traci Thompson
Ceo
4104933901
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