Individual provider · Type 1 NPI

Chalothorn Wannaphut, MD

Hematology & Oncology Physician · Jacksonville, FL

NPI number 1700576873 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Call (904) 953-2000 Map

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912

Other practice locations

  • 1356 Lusitana Street, University Of Hawaii Internal Med, 7th Floor, Honolulu, HI 96813 · (808) 586-2890

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XME179683 (FL)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

2,802 other providers at this address

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About NPI 1700576873

Chalothorn Wannaphut, MD's National Provider Identifier is 1700576873, issued on May 11, 2023. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Jacksonville, FL. The record was last updated on May 19, 2026.