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1023186467
PHUKET TANTIVIT
CORAL GABLES, FL
NPI
1023186467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: FL ME 80474)
Enumeration Date
2006-12-02
Last Update Date
2007-07-08
Business Address
-- PHUKET TANTIVIT MD
5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146-2423
Phone number: 305-662-8668
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Mailing Address
-- PHUKET TANTIVIT MD
5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146-2423
Phone number: 305-662-8668
Copy
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