MATTHEW THOMPSON

LADY LAKE, FL
NPI1710449657
Former NameMATTHEW MACEDO
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9111405)
Enumeration Date2019-04-01
Last Update Date2022-11-18
Business Address
MATTHEW THOMPSON PA-C
805 EAST CR 466
LADY LAKE, FL 32159
Phone number: 352-674-9218
Mailing Address
MATTHEW THOMPSON PA-C
14606 PALE CEDAR SQ APT 304
WINTER GARDEN, FL 34787-1424
Phone number: 774-510-0377