Individual
PANTHIPA LAOWANSIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1576 BELLA CRUZ DR, SUITE 336, THE VILLAGES, FL 32159-8969
(224) 610-9552
Mailing address
2020 OAKLEY SEAVER DR, STE 1, CLERMONT, FL 34711-1902
(352) 404-7718
(352) 404-7723
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125052304
IL
207RI0200X
Infectious Disease Physician
Primary
ME111833
FL
Other
Enumeration date
06/23/2008
Last updated
11/12/2015
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