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1295925030
ANUNPORN SRISAWAT
PORT ORANGE, FL
NPI
1295925030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME 95967)
Enumeration Date
2007-07-27
Last Update Date
2011-10-12
Business Address
-- ANUNPORN SRISAWAT M.D.
4554 S CLYDE MORRIS BLVD SUITE 2
PORT ORANGE, FL 32129-5403
Phone number: 386-304-2990
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Mailing Address
-- ANUNPORN SRISAWAT M.D.
PO BOX 290035
PORT ORANGE, FL 32129-0035
Phone number:
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