Healthcare Provider Details

I. General information

NPI: 1235586611
Provider Name (Legal Business Name): ZANE ALAN THOMPSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2016
Last Update Date: 05/22/2022
Certification Date: 05/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 HULL RD
GAINESVILLE FL
32607-4144
US

IV. Provider business mailing address

PO BOX 112730
GAINESVILLE FL
32611-2730
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-7356
  • Fax: 352-294-8035
Mailing address:
  • Phone: 352-627-7671
  • Fax: 352-627-4418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: