Thatayatikom, Sthorn

Thatayatikom, Sthorn is an individual health care provider with primary practice located at 3000 N Orange Ave Ste De , Orlando FL 32804-7613. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is her primary health care specialty. Thatayatikom, Sthorn can be contacted via phone (407) 845-8342.

Contact Information

Primary practice address
3000 N Orange Ave Ste De Orlando FL 32804-7613
Phone: (407) 845-8342
Fax: (407) 845-8343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X ME114556 Florida
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X ME114556 Florida

Profile Details

NPI number 1134394596
LBN Legal business name Thatayatikom, Sthorn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated Nov 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134394596 NPPES
Florida MEDICAID 007647400

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