SUPACHOKE - SIRISUWANANGKURA

LAKE CITY, FL
NPI1619073517
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  35445)
Enumeration Date2006-09-16
Last Update Date2007-07-08
Business Address
Dr. SUPACHOKE - SIRISUWANANGKURA MD
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
Mailing Address
Dr. SUPACHOKE - SIRISUWANANGKURA MD
4010 NW 69TH ST
GAINESVILLE, FL 32606-4214
Phone number: 352-371-7624
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