Organization
A1A IMAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKORN ARUNAKUL M.D. (MEDICAL DIRECTOR)
(786) 316-3744
Entity
Organization
Contact information
Practice address
1421 SW 107TH AVE # 136, MIAMI, FL 33174-2526
(786) 316-3744
Mailing address
1421 SW 107TH AVE # 136, MIAMI, FL 33174-2526
(786) 316-3744
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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