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1811958903
THAWATCHAI SUKSANONG
ST PETERSBURG, FL
NPI
1811958903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: FL ME0031934)
Enumeration Date
2006-03-29
Last Update Date
2007-11-26
Business Address
-- THAWATCHAI SUKSANONG M.D.
1752 DR MARTIN LUTHER KING JR ST N
ST PETERSBURG, FL 33704-4206
Phone number: 727-823-7224
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Mailing Address
-- THAWATCHAI SUKSANONG M.D.
PO BOX 22766
TAMPA, FL 33622-2766
Phone number: 727-823-2188
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