Everest Medical Care

LBN: Jirayos Chintanadilok
Everest Medical Care is an health care organization with primary practice located at 4296 5Th Ave , Marianna FL 32446-2173. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Jirayos Chintanadilok can be contacted via phone (850) 482-2061, or through Chintanadilok, Jirayos via phone (850) 482-2061.

Contact Information

Primary practice address
4296 5Th Ave Marianna FL 32446-2173
Phone: (850) 482-2061
Fax: (850) 482-6617
Website:
Map and Directions
Authorized official contact:
Name: Chintanadilok, Jirayos Doctor of Medicine (MD)
Phone: (850) 482-2061

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME27861 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME77246 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME77246 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME77246 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9101074 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X ARNP Florida
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X ARNP1903302 Florida

Profile Details

NPI number 1568469062
LBN Legal business name Jirayos Chintanadilok
DBA Doing business as Everest Medical Care
Authorized official Chintanadilok, Jirayos Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Aug 4th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568469062 NPPES
Florida MEDICAID 269074800

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