SearchFlorida207ZP0102X

Phoutthasone Thirakul

NPI 1760800460 · on the registry since 2014

Practice

Address
3325 49th Ave E
Bradenton, FL 34203
Phone
(323) 839-7364

Registry record

Primary taxonomy
207ZP0102X
207ZP0102X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-26

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