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General NPI Number Information
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NPI Number | 1407297724
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Entity Type | Individual
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Provider Name | JOHN VINCENT THOMPSON D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/15/2013
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 657 DEL PRADO BLVD S
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City | CAPE CORAL
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State | FL
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Zip | 33990-2660
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Country | US
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Telephone | 239-337-2003
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Fax | 239-337-3168
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Provider Business Mailing Address
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Address Line | 7331 COLLEGE PKWY STE 300
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City | FORT MYERS
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State | FL
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Zip | 33907-5524
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Country | US
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Telephone | 239-337-2003
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Fax | 239-337-3168
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | OS15087
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License Number State | FL
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