JIRAYOS CHINTANADILOK

MARIANNA, FL
NPI1568469062
Doing Business AsEVEREST MEDICAL CARE
Entity TypeOrganization
Authorized ContactJIRAYOS CHINTANADILOK
M.D. (Owner)
850-482-2061
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  me27861)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: FL  ARNP)
363AM0700X Physician Assistant, Medical
(Licence: FL  PA9101074)
207R00000X Internal Medicine
(Licence: FL  me77246)
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: FL  me77246)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: FL  me77246)
363LP2300X Nurse Practitioner, Primary Care
(Licence: FL  arnp1903302)
Enumeration Date2005-06-30
Last Update Date2008-08-04
Business Address
JIRAYOS CHINTANADILOK
4296 5TH AVE
MARIANNA, FL 32446-2173
Phone number: 850-482-2061
Mailing Address
JIRAYOS CHINTANADILOK
4296 5TH AVE
MARIANNA, FL 32446-2173
Phone number: 850-482-2061