PHUKET TANTIVIT

CORAL GABLES, FL
NPI1023186467
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: FL  ME 80474)
Enumeration Date2006-12-02
Last Update Date2007-07-08
Business Address
-- PHUKET TANTIVIT MD
5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146-2423
Phone number: 305-662-8668
Mailing Address
-- PHUKET TANTIVIT MD
5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146-2423
Phone number: 305-662-8668
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