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Individual

ANDREW THONGSACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
133 BENMORE DR, SUITE 201, WINTER PARK, FL 32792-4111
(407) 646-7469
Mailing address
133 BENMORE DR, SUITE 201, WINTER PARK, FL 32792-4111

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
23372
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/07/2016
Last updated
08/07/2016
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