Provider Demographics
NPI:1689964595
Name:THOMPSON, PILAR MISHAUN
Entity Type:Individual
Prefix:MS
First Name:PILAR
Middle Name:MISHAUN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10540 77TH TERR NORTH
Mailing Address - Street 2:217
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33772
Mailing Address - Country:US
Mailing Address - Phone:641-715-3900
Mailing Address - Fax:
Practice Address - Street 1:10540 77TH TER
Practice Address - Street 2:217
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772-5464
Practice Address - Country:US
Practice Address - Phone:641-715-3900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion