Individual
KAISORN LEE CHAICHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
5723
MD
207T00000X
Neurological Surgery Physician
Primary
ME133570
FL
208600000X
Surgery Physician
5723
MD
Other
Enumeration date
04/23/2008
Last updated
08/31/2020
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