| Jwthompson Group, Llc | |
|
263 Royal Oak Way Venice FL 34292-3189 | |
| (941) 685-7228 | |
| Not Available |
| Full Name | Jwthompson Group, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 263 Royal Oak Way, Venice, Florida |
| Authorized Official Name and Position | Jerry Wayne Thompson (PRESIDENT/CEO) |
| Authorized Official Contact | 9416857228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jwthompson Group, Llc 263 Royal Oak Way Venice FL 34292-3189 Ph: (941) 685-7228 | Jwthompson Group, Llc 263 Royal Oak Way Venice FL 34292-3189 Ph: (941) 685-7228 |
| NPI Number | 1770999229 |
|---|---|
| Provider Enumeration Date | 07/05/2014 |
| Last Update Date | 07/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770999229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY580700 (Florida) | Primary |
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