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Contact Information

WAROOT S NIMJAREANSUK, DO
701 MEDICAL PLAZA DR
LEESBURG, FL34748-7313
 Phone: 352-273-7002
 Fax: 352-273-7388
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for WAROOT S NIMJAREANSUK · (Male)

NPI Number 1356878292
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/22/2017
Last updated 04/22/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS17529
  • NY License # 303251
  • FL Medicaid 111181000
Hospital affiliation(s)
  • FLORIDA HOSPITAL - (Acute Care)
    601 E ROLLINS ST
    ORLANDO, FL 32803
  • FLORIDA HOSPITAL WATERMAN - (Acute Care)
    1000 WATERMAN WAY
    TAVARES, FL 32778
  • LEESBURG REGIONAL MEDICAL CENTER - (Acute Care)
    600 E DIXIE AVE
    LEESBURG, FL 34748
  • VILLAGES REGIONAL HOSPITAL THE - (Acute Care)
    1451 EL CAMINO REAL
    THE VILLAGES, FL 32159
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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