Bordin Intachai, MD - Orange Park, FL

Bordin Intachai, MD

Student in an Organized Health Care Education/Training Program in Orange Park, Florida

NPI 1457980641

Bordin Intachai is a Student in an Organized Health Care Education/Training Program based in Orange Park, FL. Bordin Intachai practices in Orange Park, FL and has the professional credentials of MD. The NPI Number for Bordin Intachai is 1457980641 and holds a License No. (Florida).

The current practice location address for Bordin Intachai is 2001 Kingsley Ave, Orange Park, FL and can be reached out via phone at 904-639-2000.

Location: 2001 Kingsley Ave, Orange Park, FL, 32073-5148

NPI Number

1457980641

Provider Name

Bordin Intachai

Credential

Provider Entity Type

Individual

Gender

Male

Address

2001 Kingsley Ave, Orange Park, FL, 32073-5148

Phone Number

904-639-2000

Fax Number

Provider Enumeration Date

04/08/2020

Last Update Date

03/10/2024

Address

2001 Kingsley Ave

City

Orange Park

State

Florida

Zip

32073-5148

Phone Number

904-639-2000

Fax Number

Address

2001 Kingsley Ave

City

Orange Park

State

Florida

Zip

32073-5148

Phone Number

904-639-2000

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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