Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0205X | Pediatric Endocrinologist | 35.096853 | OH |
Y | 2080P0205X | Pediatric Endocrinologist | ME116950 | FL |
NPI | 1003081100 |
---|---|
Provider Name | Supamit Ukarapong |
First Address | Miami, FL 33136-1002 |
Second Address | Miami, FL 33136-1002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2008 |
Last Update Date | 28/10/2013 |