Individual
PHINARAK HAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SW ARCHER RD, BOX 100254, GAINESVILLE, FL 32610-0254
(352) 273-8610
Mailing address
1600 SW ARCHER RD, BOX 100254, GAINESVILLE, FL 32610-0254
(352) 273-8610
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA44
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002575600
—
FL
01
—
DE223Z
MEDICARE NUMBER
FL
Enumeration date
10/23/2009
Last updated
11/07/2016
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