Organization
PRAKIT JEERAPAET MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAKIT JEERAPAET M.D. (PRESIDENT)
(813) 685-7714
Entity
Organization
Contact information
Practice address
116 S MONTCLAIR AVE, BRANDON, FL 33511-5322
(813) 685-0113
Mailing address
116 S MONTCLAIR AVE, BRANDON, FL 33511-5322
(813) 685-0113
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
19900
FL
Other
Enumeration date
11/24/2011
Last updated
11/24/2011
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