Charnvitayapong, Kasem
Charnvitayapong, Kasem is an individual health care provider with primary practice located at 2221 Se Ocean Blvd Suite 100, Stuart FL 34996-3341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Charnvitayapong, Kasem can be contacted via phone (772) 283-4428.Contact Information
Primary practice address
2221 Se Ocean Blvd Suite 100
Stuart FL 34996-3341
Phone: (772) 283-4428
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME0073266 | Florida |
Profile Details
| NPI number | 1497847206 |
|---|---|
| LBN Legal business name | Charnvitayapong, Kasem |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Jan 7th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497847206 | NPPES |
| Florida | MEDICAID | 253176300 |
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