STHORN THATAYATIKOM

ORLANDO, FL
NPI1134394596
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0201X Pediatrics, Pediatric Allergy/Immunology
(Licence: FL  ME114556)
Additional Taxonomies207RA0201X Internal Medicine, Allergy & Immunology
(Licence: FL  ME114556)
Enumeration Date2008-04-28
Last Update Date2023-11-21
Business Address
STHORN THATAYATIKOM MD
3000 N ORANGE AVE STE DE
ORLANDO, FL 32804-7613
Phone number: 407-845-8342
Mailing Address
STHORN THATAYATIKOM MD
PO BOX 191 PROVIDER ENROLLMENT
ROCKLAND, DE 19732-0191
Phone number: 302-651-6212