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PANTIP INTACHAI
Family Medicine Physician
NPI: 1497215123IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Medicine PhysicianPrimary
Family Medicine
Code: 207Q00000X
ME153109(FL)
CMS Specialties
PrimaryFAMILY PRACTICE
Education
OTHER
Class of 2019
Contact & Hours
- Address
- 2001 KINGSLEY AVE
ORANGE PARK, FL 32073 - Phone
- (904) 639-8500
Quick Facts
- NPI
- 1497215123
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 7
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