Healthcare Provider Details

I. General information

NPI: 1235340324
Provider Name (Legal Business Name): SHERRY MARIE THOMPSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16250 NW 59TH AVE STE 201
MIAMI LAKES FL
33014-7542
US

IV. Provider business mailing address

1355 RIVER BEND DR
DALLAS TX
75247-4915
US

V. Phone/Fax

Practice location:
  • Phone: 305-825-4422
  • Fax: 305-779-5387
Mailing address:
  • Phone: 214-237-1818
  • Fax: 844-751-9263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberME103599
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: