Search › Florida › 171100000X
Gritchalach Phophutthaprasit, AP, DOM
NPI 1417695412 · on the registry since 2022
Practice
- Address
- 3739 Lake Center Dr
Mount Dora, FL 32757 - Phone
- (352) 729-2290
- Fax
- (386) 774-6333
- Clinicians at this address
- 2
Additional practice sites
- 2501 S Volusia Ave Ste 200, Orange City, FL
- 746 Stirling Center Pl Ste 1108, Lake Mary, FL
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-23
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