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Contact Information

AKALUCK THATAYATIKOM, MD
2501 N ORANGE AVE STE 586
ORLANDO, FL32804-4603
 Phone: 407-821-3545
 Fax: 407-821-3546
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Rheumatology

2080P0216X 37 Physician/Pediatric Medicine
 

Pediatric Endocrinology

2080P0205X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for AKALUCK THATAYATIKOM · (Male)

NPI # 1366650236
Status Active
Credentials MD
Entity Individual
Enumeration date 05/21/2007
Last updated 12/13/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME114452
  • MO License # 2006035310
  • FL Medicaid 007298300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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