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Sthorn Thatayatikom, MD
Pediatric Allergy/Immunology Physician in Orlando, Florida
NPI 1134394596

Sthorn Thatayatikom is a Pediatric Allergy/Immunology Physician based in Rockland, FL and is specialized in Pediatric Allergy/Immunology. Sthorn Thatayatikom practices in Orlando, FL and has the professional credentials of MD. The NPI Number for Sthorn Thatayatikom is 1134394596 and holds a License No. ME114556 (Florida).

The current practice location address for Sthorn Thatayatikom is 3000 N Orange Ave Ste De, Orlando, FL and can be reached out via phone at 407-845-8342 and via fax at 407-845-8343.

Location: 3000 N Orange Ave Ste De, Orlando, FL, 19732-0191
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134394596
Provider Name
Sthorn Thatayatikom
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3000 N Orange Ave Ste De, Orlando, FL, 19732-0191
Phone Number
407-845-8342
Fax Number
407-845-8343
Provider Enumeration Date
04/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007647400 05 FL
institution
Provider Business Practice Location Address Details
Address
3000 N Orange Ave Ste De
City
Orlando
State
Florida
Zip
32804-7613
Phone Number
407-845-8342
Fax Number
407-845-8343
person
Provider Business Mailing Address Details
Address
3000 N Orange Ave Ste De
City
Orlando
State
Florida
Zip
32804-7613
Phone Number
407-845-8342
Fax Number
407-845-8343
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Allergy & Immunology
Taxonomy
207RA0201X
License No.
ME114556 (Florida)
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Allergy/Immunology
Taxonomy
2080P0201X
License No.
ME114556 (Florida)
Definition
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
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