Provider Demographics
NPI:1447028212
Name:ROSE THOMPSON, RASHMI
Entity type:Individual
Prefix:PROF
First Name:RASHMI
Middle Name:
Last Name:ROSE 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 1:3500 POSNER BLVD # 1214
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-3640
Mailing Address - Country:US
Mailing Address - Phone:352-749-1661
Mailing Address - Fax:
Practice Address - Street 1:321 S BROAD ST
Practice Address - Street 2:UNIT 214
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202
Practice Address - Country:US
Practice Address - Phone:352-749-1661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL640504180002246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy