Individual
DR. BIDONG THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-0001
(904) 542-7963
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-0004
(904) 542-7606
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101271433
VA
Other
Enumeration date
04/22/2019
Last updated
04/28/2024
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