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POEMLARP MEKRAKSAKIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
305 MEMORIAL MEDICAL PKWY STE 507, DAYTONA BEACH, FL 32117-5170
(386) 672-8595
(386) 677-4987
Mailing address
770 W GRANADA BLVD STE 101, ORMOND BEACH, FL 32174-5179
(386) 231-4746
(386) 368-8927

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
70811
MN
207RN0300X
Nephrology Physician
Primary
ME174395
FL

Other

Enumeration date
06/27/2019
Last updated
03/11/2026
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