Individual
THIDAPORN TANPATTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
92 W MILLER ST, ORLANDO, FL 32806-2032
(407) 649-9111
(954) 858-0404
Mailing address
1500 CONCORD TER, SUNRISE, FL 33323-2815
(800) 243-3839
(954) 858-0404
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS8936
FL
208M00000X
Hospitalist Physician
OS8936
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268709700
—
FL
Enumeration date
01/23/2006
Last updated
06/22/2014
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