Individual
KASEM CHARNVITAYAPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2221 SE OCEAN BLVD, SUITE 100, STUART, FL 34996-3341
(772) 283-4428
Mailing address
2221 SE OCEAN BLVD, SUITE 100, STUART, FL 34996-3341
(772) 283-4428
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME0073266
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253176300
—
FL
Enumeration date
09/29/2006
Last updated
01/07/2021
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