Individual
THIPHAROT LUANGAMATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
1964 ELLIOTT DR, CLEARWATER, FL 33763-4513
(727) 599-7696
Mailing address
1964 ELLIOTT DR, CLEARWATER, FL 33763-4513
(727) 599-7696
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
TT 10396
FL
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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