MEDICARE: ADAM THOMPSON

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
1	146L00000X	Paramedic	509463	FL

General Provider Information

NPI Number	:	1457156739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM THOMPSON

Provider Business Mailing Address
First Line	:	2000 MAIN ST STE 100
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-5502
Country	:	US
Telephone Number	:	239-237-7592
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 MAIN ST STE 100
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-5502
Country	:	US
Telephone Number	:	239-237-7592
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2025
Last Update Date	:	02/19/2025

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Directions to “ ADAM THOMPSON ” Practice Location

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