Chalermchai Punya (NPI# 1629130208, PAC ID# 1557536844) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1629130208 |
| PAC ID by PECOS | 1557536844 |
| Professional Enrollment ID | I20120130000584 |
| Full Name | Chalermchai Punya |
| Organization Legal Name | LAKESHORE MEDICAL CARE CENTER, INC |
| Address |
4570 San Juan Ave Suite 2 Jacksonville FL 32210-2051 |
| Phone Number | 9043845385 |
| Gender | M |
| Graduation Year | 1965 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 3971778259 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4570 San Juan Ave, Suite 2, Jacksonville, FL 32210-2051 | 9043845385 | LAKESHORE MEDICAL CARE CENTER, INC |
| 4570 San Juan Ave, Jacksonville, FL 32210-2051 | 9043845385 | LAKESHORE MEDICAL CARE CENTER, INC |
| Organization Legal Name | LAKESHORE MEDICAL CARE CENTER, INC |
| Physicians | 1 |
| Street Address |
4570 SAN JUAN AVE SUITE 2 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32210-2051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jairo A De La Hoz | Family Medicine | 5233 Ricker Rd, Suite 101, Jacksonville, FL 32210-1439 | |
| Patrick Opachich | Chiropractic | 1610 Blanding Blvd, Jacksonville, FL 32210-1804 | |
| Clifford H Spohr | Diagnostic Radiology | Elite Imaging LLC | 4171 Roosevelt Blvd, Jacksonville, FL 32210-1837 |
| Kristie Driver | Family Medicine | Baptist Primary Care Inc | 4530 Saint Johns Ave, Suite 13, Jacksonville, FL 32210-1852 |
| Aishah Covington Simms | Family Medicine | Baptist Primary Care Inc | 4530 Saint Johns Ave, Suite 13, Jacksonville, FL 32210-1852 |
| Joseph M Glick | Family Medicine | Baptist Primary Care Inc | 4530 Saint Johns Ave, Suite 13, Jacksonville, FL 32210-1852 |
| Curtis M Bleau | Podiatry | Podiatry Associates of Florida Inc | 1824 Blanding Blvd, Jacksonville, FL 32210-1904 |
| Jesse P Mcrae | Allergy/immunology | Jesse P Mcrae M D P A | 1727 Blanding Blvd, Jacksonville, FL 32210-1949 |
| David A Edwards | Chiropractic | Edwards Chiropratic Offices Pa | 4558 San Juan Ave, Jacksonville, FL 32210-2051 |
| Robert F Travis | Chiropractic | Edwards Chiropratic Offices Pa | 4558 San Juan Ave, Jacksonville, FL 32210-2051 |
| Find all physicians in zip 32210 | |||
| City | JACKSONVILLE |
| Zip Code | 32210 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | JACKSONVILLE + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Chalermchai Punya.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.