Individual
CHUT SOMBUTMAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11215 METRO PKWY STE 1, FORT MYERS, FL 33966-1206
(239) 208-2212
Mailing address
11215 METRO PKWY STE 1, FORT MYERS, FL 33966-1206
(239) 984-6839
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
17444
NH
2084N0400X
Neurology Physician
2010-01765
NC
2084N0400X
Neurology Physician
OS019617
PA
2084N0400X
Neurology Physician
Primary
OS10770
FL
208M00000X
Hospitalist Physician
OS10770
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3115195
—
NH
Enumeration date
01/11/2007
Last updated
06/13/2025
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