NPI 1760800460

Phoutthasone Thirakul

Practitioner Anatomic Pathology & Clinical Pathology Physician Bradenton, FL

Practice location

Address: 3325 49th Ave E, Bradenton, FL 34203-3945
Phone: (323) 839-7364

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence A125018 (CA)

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Registry record

NPI: 1760800460
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Apr 2014
Record last updated: 26 May 2026

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.