Individual
NARONGSAK GUEVARA BOONSWANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2380 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5024
(941) 206-0325
(941) 766-0423
Mailing address
85 MCNAUGHTEN RD, SUITE 110, COLUMBUS, OH 43213-2174
(614) 751-8846
(614) 751-8894
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35-126473
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
54194
CO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
77362
MT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD418882
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME130413
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016990120001
—
PA
01
—
1885635
BLUE SHIELD
PA
01
—
522325498
TAX ID
PA
05
—
94373779
—
CO
Enumeration date
07/17/2006
Last updated
10/10/2022
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