Rewadee Soontharothai in Daytona Beach - Emergency Medicine
Rewadee Soontharothai - NPI 1053583112
Rewadee Soontharothai is a Emergency Medicine in Daytona Beach, Florida. Rewadee Soontharothai practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Rewadee Soontharothai is 1053583112. The last update date is 2010-12-07.
Rewadee Soontharothai's current location address is 303 North Clyde Morris Blvd., Daytona Beach, Florida. You can contact this provider via phone number 3864252285 and fax number 3864257522. The mailing address for Rewadee Soontharothai is 303 North Clyde Morris Blvd., Daytona Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rewadee Soontharothai |
|---|---|
| Address | 303 North Clyde Morris Blvd., Daytona Beach, Florida |
| Phone Number | 3864252285 |
| Fax Number | 3864257522 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1053583112 |
|---|---|
| Provider Enumeration Date | 2008-03-29 |
| Last Updated Date | 2010-12-07 |
Provider Mailing Address Detail
| Address | 303 North Clyde Morris Blvd. |
|---|---|
| City | Daytona Beach |
| State | Florida (FL) |
| Post Code | 321142709 |
| Phone Number | 3864252285 |
| Fax Number | 3864257522 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | ME108326 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2846800 | FL | -- | |
| 1053583112 | FL | TRICARE | |
| 14A24 | FL | BLUE CROSS BLUE SHIELD OF FLOR |
Post Comment/ Review Below
What is the Rewadee Soontharothai's unique identification number?
The Rewadee Soontharothai has been assigned the NPI (National Provider Identifier) Number 1053583112 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Rewadee Soontharothai?
The Rewadee Soontharothai is physically situated at 303 North Clyde Morris Blvd., in the city of Daytona Beach, state of FL, with the postal code 321142709.
What is Rewadee Soontharothai's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Rewadee Soontharothai is Emergency Medicine, and the taxonomy code that classifies this field of practice is 207P00000X.
On what date did the Rewadee Soontharothai receive its 1053583112 assignment from the Centers for Medicare & Medicaid Services?
The Rewadee Soontharothai was assigned its 1053583112 by the Centers for Medicare & Medicaid Services on 2008-03-29.
When was the information pertaining to Rewadee Soontharothai most recently updated or revised?
The details related to Rewadee Soontharothai, including its address, specialty, and other relevant information, were last updated or revised on 2010-12-07.
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