Individual
DAYCHA CHEANVECHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3625 UNIVERSITY BLVD S, EMERGENCY DEPARTMENT, JACKSONVILLE, FL 32216-4207
(904) 399-6156
Mailing address
9745 TOUCHTON RD, UNIT 3107, JACKSONVILLE, FL 32246-4487
(904) 399-6156
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME76415
FL
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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