Individual provider · Type 1 NPI

Panida Charnvitayapong, MD

Student in an Organized Health Care Education/Training Program · Atlantis, FL

NPI number 1497457022 Active

Practice location

180 Jfk Dr Ste 210
Atlantis, FL 33462-6641

Fax (561) 548-1459

Mailing address

5301 S Congress Ave
Atlantis, FL 33462-1149

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497457022

Panida Charnvitayapong, MD's National Provider Identifier is 1497457022, issued on Mar 20, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlantis, FL. The record was last updated on Mar 20, 2023.