PANTIP INTACHAI

Family Medicine

Active Individual
NPI: 1497215123

Practice Address

2001 KINGSLEY AVE
Orange Park, FL 32073

Phone: (904) 639-8500

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes ME153109 (FL)

Frequently Asked Questions

NPI 1497215123 is the National Provider Identifier for PANTIP INTACHAI, a Family Medicine provider located in Orange Park, FL. This NPI was enumerated on March 20, 2019.
PANTIP INTACHAI practices at 2001 KINGSLEY AVE, Orange Park, FL 32073.

Quick Facts

NPI
1497215123
Type
Individual
Enumerated
Mar 20, 2019
Last Updated
Nov 24, 2025

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