Individual
KUNAL THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1560 ROBERTS DR, JACKSONVILLE BEACH, FL 32250-3222
(904) 339-0350
Mailing address
1560 ROBERTS DR, JACKSONVILLE BEACH, FL 32250-3222
(904) 339-0350
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME104096
FL
Other
Enumeration date
07/02/2008
Last updated
12/06/2018
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