Anunporn Srisawat (NPI# 1295925030, PAC ID# 3678661378) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1295925030 |
| PAC ID by PECOS | 3678661378 |
| Professional Enrollment ID | I20071114000036 |
| Full Name | Anunporn Srisawat |
| Address |
4554 S Clyde Morris Blvd Suite 2 Port Orange FL 32129-5404 |
| Gender | F |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100017 | HALIFAX HEALTH MEDICAL CENTER |
| 100068 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4554 S Clyde Morris Blvd, Suite 2, Port Orange, FL 32129-5404 |
| Street Address |
4554 S CLYDE MORRIS BLVD SUITE 2 |
| City | PORT ORANGE |
| State | FL |
| Zip | 32129-5404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vrushak N Deshpande | Gastroenterology | Borland-groover Clinic Pa | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349 |
| Michel C Samson | Plastic and Reconstructive Surgery | 3635 S Clyde Morris Blvd, Suite 400, Port Orange, FL 32129-2349 | |
| Katie Weisz | Physician Assistant | Borland-groover Clinic Pa | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349 |
| Ketul R Patel | Gastroenterology | Borland-groover Clinic Pa | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349 |
| Sunil P Pasricha | Gastroenterology | Borland-groover Clinic Pa | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349 |
| Vicki L Aunspaugh | Occupational Therapy | Daytona Beach Hand Clinic, Inc | 3635 S Clyde Morris Blvd, Suite 300, Port Orange, FL 32129-2349 |
| Julie T Bonamo | Occupational Therapy | Daytona Beach Hand Clinic, Inc | 3635 S Clyde Morris Blvd, Suite 300, Port Orange, FL 32129-2349 |
| Dorothy W Porter | Physician Assistant | Borland-groover Clinic Pa | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349 |
| Clayton T Saxour | Certified Registered Nurse Anesthetist (crna) | Amsurg Port Orange Anesthesia LLC | 3635 Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2351 |
| Anita V Lee | Certified Registered Nurse Anesthetist (crna) | Amsurg Port Orange Anesthesia LLC | 3635 Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2351 |
| Find all physicians in zip 32129 | |||
| City | PORT ORANGE |
| Zip Code | 32129 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PORT ORANGE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Anunporn Srisawat.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.