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1861193708
DAVONG DAVID PHRATHEP
JACKSONVILLE, FL
NPI
1861193708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL UO10106)
Enumeration Date
2023-03-16
Last Update Date
2024-07-30
Business Address
DAVONG DAVID PHRATHEP
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
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Mailing Address
DAVONG DAVID PHRATHEP
5000 LAKEWOOD RANCH BLVD
BRADENTON, FL 34211-4909
Phone number:
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