Jason Tyler Dumrongkulraksa, | |
615 N Bonita Ave, Panama City, FL 32401-3623 | |
(850) 747-6000 | |
Not Available |
Full Name | Jason Tyler Dumrongkulraksa |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 13 Years |
Location | 615 N Bonita Ave, Panama City, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205115573 | NPI | - | NPPES |
PA9106023 | Other | FL | FLORIDA BOARD OF MEDICINE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA9106023 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gulf Coast Regional Medical Center | Panama city, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intensivist Medicine Services Of Fl Llc | 3173998481 | 15 |
Hospital Medicine Services Of Fl, Llc | 9234596743 | 435 |
Mailing Address | Practice Location Address |
---|---|
Jason Tyler Dumrongkulraksa, 615 N Bonita Ave, Panama City, FL 32401-3623 Ph: (850) 747-6000 | Jason Tyler Dumrongkulraksa, 615 N Bonita Ave, Panama City, FL 32401-3623 Ph: (850) 747-6000 |
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