Srisawat, Anunporn
Srisawat, Anunporn is an sole proprietor health care provider with primary practice located at 4554 S Clyde Morris Blvd Suite 2, Port Orange FL 32129-5403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Srisawat, Anunporn can be contacted via phone (386) 304-2990.Contact Information
Primary practice address
4554 S Clyde Morris Blvd Suite 2
Port Orange FL 32129-5403
Phone: (386) 304-2990
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME 95967 | Florida |
Profile Details
| NPI number | 1295925030 |
|---|---|
| LBN Legal business name | Srisawat, Anunporn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2007 |
| Last updated | Oct 12th, 2011 - about 13 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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