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NPI Code Detail

MEDICARE: SAFEYA THOMPSON DO

MEDICARE: SAFEYA THOMPSON DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramUO8400FL
2390200000XStudent in an Organized Health Care Education/Training Program5151018126MI
3207V00000XObstetrics & Gynecology PhysicianOS23705FL

General Provider Information

NPI Number : 1174273916
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAFEYA THOMPSON DO
Provider Business Mailing Address
First Line : 18571 PIERRE DR
Second Line :
City : CLINTON TWP
State : MI
Zip : 48038-1266
Country : US
Telephone Number : 954-203-2658
Fax Number :
Provider Business Practice Location Address
First Line : 703 N FLAMINGO RD
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33028-1006
Country : US
Telephone Number : 954-844-4031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2022
Last Update Date : 06/01/2026

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