Thidaporn Tanpattana, DO | |
92 W Miller St, Orlando, FL 32806-2032 | |
(407) 649-9111 | |
(954) 858-0404 |
Full Name | Thidaporn Tanpattana |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 92 W Miller St, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265402424 | NPI | - | NPPES |
268709700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | OS8936 (Florida) | Primary |
208M00000X | Hospitalist | OS8936 (Florida) | Secondary |
Entity Name | Pediatrix Medical Group Of Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083711790 PECOS PAC ID: 4486634417 Enrollment ID: O20040721000998 |
Mailing Address | Practice Location Address |
---|---|
Thidaporn Tanpattana, DO 1500 Concord Ter, Sunrise, FL 33323-2815 Ph: (800) 243-3839 | Thidaporn Tanpattana, DO 92 W Miller St, Orlando, FL 32806-2032 Ph: (407) 649-9111 |
Dr. Lynn Christine Palmeri, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-303-2528 Fax: 407-303-2760 | |
Darlene Marie Eckert, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14065 Town Loop Blvd, Suite 300, Orlando, FL 32837 Phone: 407-240-5554 Fax: 407-240-5543 | |
Sunita A Patil, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 83 W Columbia St, Orlando, FL 32806 Phone: 321-843-3220 Fax: 321-843-3210 | |
Dr. Barbara J Gans, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 414 N Mills Ave, Orlando, FL 32803 Phone: 407-841-7290 Fax: 407-636-7800 | |
Adalberto Torres, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6535 Nemours Pkwy, Orlando, FL 32827 Phone: 407-650-4005 Fax: 407-650-7124 | |
Dr. Lisa Santos Spector, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13535 Nemours Pkwy, Orlando, FL 32827 Phone: 407-567-4000 Fax: 407-567-5924 | |
Mary Farrell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 92 W Miller St, Orlando, FL 32806 Phone: 321-841-5104 Fax: 321-841-6871 |