Search › Florida › 207P00000X
Jerry Tavornwattana
NPI 1093177982 · on the registry since 2016
Practice
- Address
- 655 W 8th St # C506
Jacksonville, FL 32209 - Phone
- (904) 244-3817
- Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 390200000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida