Thompson, Cody E
Thompson, Cody E 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 / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Thompson, Cody E 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9103535 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA9103535 | Florida |
Profile Details
| NPI number | 1619953114 |
|---|---|
| LBN Legal business name | Thompson, Cody E |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2005 |
| Last updated | May 22nd, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619953114 | NPPES |
| Florida | MEDICAID | 292378500 |
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