| Jason Tyler Dumrongkulraksa, | |
|
615 N Bonita Ave, Panama City, FL 32401-3623 | |
| (850) 747-6000 | |
| Not Available |
| Full Name | Jason Tyler Dumrongkulraksa |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 615 N Bonita Ave, Panama City, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205115573 | NPI | - | NPPES |
| PA9106023 | Other | FL | FLORIDA BOARD OF MEDICINE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9106023 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gulf Coast Regional Medical Center | Panama city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Medicine Services Of Fl, Llc | 9234596743 | 402 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Tyler Dumrongkulraksa, 615 N Bonita Ave, Panama City, FL 32401-3623 Ph: (850) 747-6000 | Jason Tyler Dumrongkulraksa, 615 N Bonita Ave, Panama City, FL 32401-3623 Ph: (850) 747-6000 |
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