Individual
DR. THAVIN TEMPAKORNKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1771
(321) 434-1775
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5081
TN
208M00000X
Hospitalist Physician
5081
TN
208M00000X
Hospitalist Physician
Primary
OS22758
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129663600
—
FL
01
—
WR250
HFMG
FL
Enumeration date
03/25/2020
Last updated
04/09/2026
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