IndividualActive
Mark Thompson, D.O.
NPI 1487646030 · Therapeutic Radiology Physician · Lake City, FL
Provider details
- NPI number
- 1487646030
- Entity type
- Individual
- Primary specialty
- Therapeutic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- OS10194 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4520 W US Highway 90
Lake City, FL 32055-8341
Phone: (352) 755-0601
Fax: (352) 755-0602
Approximate (ZIP-level) locationGet directions
Mailing address
104 Woodmont Blvd Ste 500
Nashville, TN 37205-2245
Additional practice locations (1)
- 8787 Bryan Dairy Rd Ste 120Largo, FL 33777-1252Phone: (727) 320-0200Fax: (727) 394-8934
Registry dates
- Enumerated
- 2005-08-19
- Last updated
- 2025-05-05
- Certified
- 2025-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.