Soontharothai, Rewadee

Soontharothai, Rewadee is an individual health care provider with primary practice located at 303 North Clyde Morris Blvd. Halifax Health Medical Center, Daytona Beach FL 32114-2709. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Soontharothai, Rewadee can be contacted via phone (386) 425-2285.

Contact Information

Primary practice address
303 North Clyde Morris Blvd. Halifax Health Medical Center Daytona Beach FL 32114-2709
Phone: (386) 425-2285
Fax: (386) 425-7522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME108326 Florida

Profile Details

NPI number 1053583112
LBN Legal business name Soontharothai, Rewadee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2008
Last updated Dec 7th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053583112 NPPES
Florida MEDICAID 002846800
Florida Other 1053583112
Florida Other 14A24

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