MR. Gritchalach Phophutthaprasit, AP, DOM
NPI #1417695412 in Mount Dora, Florida
Provider Information
- NPI Number
- 1417695412
- Entity Type
- Individual
- Name
- MR. Gritchalach Phophutthaprasit, AP, DOM
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Acupuncturist
- Credential
- AP, DOM
- Enumeration Date
- May 20, 2022
- Last Updated
- Aug 23, 2023
Practice Location
- Address
- 3739 LAKE CENTER DR
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757-2363
- Phone
- (352) 729-2290
Specialties & Taxonomy Codes
| Specialty |
|---|
| Acupuncturist |
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