Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Lynn R Thibodeau, PA

Individual provider Medical Physician Assistant · NPI 1811992696

Mrs. Lynn R Thibodeau, PA is a Physician Assistant in Fleming Island, Florida. Qualified in 2002, 24 years ago. Practices with Florida Cancer Specialists and Research Institute, LLC, a 460-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
24
Licensed in
FL
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4689 US Highway 17 Ste 2
Fleming Island, FL 32003-4831
Phone: (904) 269-6526
Fax: (904) 269-6527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10232 San Jose Blvd, Jacksonville, FL 32257-6203 — (904) 269-6526
  • 105 Badger Park Dr # 1-4, St Johns, FL 32259-1165 — (904) 269-6526

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9107879 (FL)

Record details

NPI number1811992696
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 17, 2005
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Florida Cancer Specialists And Research Institute, Llc — 460 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fleming Island