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Individual

PEERAWUT DEEPRASERTKUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1330 BUDINGER AVE STE 101, SAINT CLOUD, FL 34769-4123
(407) 891-2940
(407) 891-2941
Mailing address
1330 BUDINGER AVE STE 101, SAINT CLOUD, FL 34769-4123
(407) 891-2940
(407) 891-2941

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
237179
MA
207RC0000X
Cardiovascular Disease Physician
Primary
ME167835
FL
207RC0000X
Cardiovascular Disease Physician
PT 14024
ND

Other

Enumeration date
12/22/2008
Last updated
05/01/2024
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