MICHAEL ZACK JANTAWORN

MIRAMAR, FL
NPI1063223741
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  11036699)
Enumeration Date2025-01-14
Last Update Date2025-01-14
Business Address
MICHAEL ZACK JANTAWORN APRN
2050 CIVIC CENTER PL FL 3
MIRAMAR, FL 33025-7803
Phone number: 954-262-9498
Mailing Address
MICHAEL ZACK JANTAWORN APRN
407 LINCOLN RD SUITE 6H #1075
MIAMI BEACH, FL 33139
Phone number: