Individual
DR. JIRAYOS CHINTANADILOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4296 5TH AVENUE, MARIANNA, FL 32446-2173
(850) 482-2061
(850) 482-6617
Mailing address
4250 HOSPITAL DR, MARIANNA, FL 32446-1917
(850) 482-2061
(850) 482-6617
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME77246
FL
207RP1001X
Pulmonary Disease Physician
Primary
01087460A
IN
207RP1001X
Pulmonary Disease Physician
ME77246
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME77246
FL
Other
Enumeration date
05/23/2005
Last updated
10/15/2022
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