Phuket Tantivit, MD
NPI #1023186467 in Coral Gables, Florida
Provider Information
- NPI Number
- 1023186467
- Entity Type
- Individual
- Name
- Phuket Tantivit, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pediatrics - Neonatal-Perinatal Medicine
- Credential
- MD
- Enumeration Date
- Dec 2, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5955 PONCE DE LEON BLVD
- City
- Coral Gables
- State
- Florida
- ZIP Code
- 33146-2423
- Phone
- (305) 662-8668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Neonatal-Perinatal Medicine — Neonatal-Perinatal Medicine |
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