Individual
DR. KRAIYUTH VONGXAIBURANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4343 WEST NEWBERRY RD, GAINESVILLE, FL 32607-2817
(352) 224-2200
(352) 224-2484
Mailing address
4881 NW 8TH AVE, SUITE 2, GAINESVILLE, FL 32605-4582
(352) 373-6338
(352) 373-6144
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME92316
FL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
ME92316
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1065312
AETNA
FL
01
—
1447267000
PHYSICIANS UNITED PLAN
FL
01
—
1487660247
MD MEDICARE CHOICE
FL
01
—
15484901
CITRUS
FL
01
—
2615237
UNITED HEALTH CARE
FL
05
—
273660800
—
FL
01
—
29630
COMP OPTIONS
FL
01
—
304355
AVMED
—
01
—
593661648
UNIVERSAL HEALTH CARE
FL
01
—
P00438736
MEDICARE RAILROAD
FL
01
—
P05944
FREEDOM HEALTH
FL
Enumeration date
08/03/2006
Last updated
07/30/2012
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