DR. CHALERMCHAI PUNYA


Address: 4570 San Juan Ave 2, Jacksonville, FL 32210-2051
Phone: 9043845385

DR. CHALERMCHAI PUNYA (NPI# 1629130208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629130208
Entity Type Individual
Full Name DR. CHALERMCHAI PUNYA
Other Name CHALERMCHAI PUNYARATABANDHU
Credential M.D.
Practice Address 4570 San Juan Ave 2
Jacksonville
FL 32210-2051
Practice Telephone 9043845385
Practice Fax Number 9043885838
Mailing Telephone 9043845385
Mailing Fax Number 9043885838
Enumeration Date 2006-12-14
Last Update Date 2015-07-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice ME0018387 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 4570 SAN JUAN AVE 2
City JACKSONVILLE
State FL
Zip Code 32210-2051

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City JACKSONVILLE
Zip Code 32210

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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