NPI 1023186467
Phuket Tantivit, MD
Practice location
- Address
- 5955 Ponce de Leon Blvd, Coral Gables, FL 33146-2423
- Phone
- (305) 662-8668
- Fax
- (305) 662-3723
Registered specialties
Neonatal-Perinatal Medicine Physician
Primary
Registry record
- NPI
- 1023186467
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Dec 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.