Provider Demographics
NPI:1215396379
Name:VORASIANGSUK, VORARUT (AP)
Entity type:Individual
Prefix:
First Name:VORARUT
Middle Name:
Last Name:VORASIANGSUK
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2128 BRIGHTON LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-4545
Mailing Address - Country:US
Mailing Address - Phone:407-361-2341
Mailing Address - Fax:
Practice Address - Street 1:2128 BRIGHTON LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-4545
Practice Address - Country:US
Practice Address - Phone:407-361-2341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-17
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3686171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist