Organization
JACKSON COUNTY HOSPITAL DISTRICT
Active
Parent organization
JACKSON COUNTY HOSPITAL DISTRICT
Other names
Chipola Surgical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON COUNTY HOSPITAL DISTRICT
Authorized official
MR. VECHAI LEE ARUNAKUL M.D. (PHYSICIAN)
(850) 718-2644
Entity
Organization
Contact information
Practice address
3051 6TH ST, MARIANNA, FL 32446-1933
(850) 718-2644
(850) 718-2894
Mailing address
3051 6TH ST, MARIANNA, FL 32446-1933
(850) 718-2644
(850) 718-2894
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME98090
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811915580
NPI
FL
01
—
95017
BCBSFL
FL
01
—
ME98090
FLME
FL
Enumeration date
05/01/2007
Last updated
03/05/2008
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