Tanpattana, Thidaporn

Tanpattana, Thidaporn is an individual health care provider with primary practice located at 92 W Miller St , Orlando FL 32806-2032. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Tanpattana, Thidaporn can be contacted via phone (407) 649-9111.

Contact Information

Primary practice address
92 W Miller St Orlando FL 32806-2032
Phone: (407) 649-9111
Fax: (954) 858-0404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS8936 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X OS8936 Florida

Profile Details

NPI number 1265402424
LBN Legal business name Tanpattana, Thidaporn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jun 22nd, 2014 - about 10 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 1265402424 NPPES
Florida MEDICAID 268709700

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