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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GORAWICH KERKARCHACHAI MD
NPI 1104730563
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since October 01, 2026
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 840-8424 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Gorawich Kerkarchachai Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GORAWICH KERKARCHACHAI MD (NPI 1104730563) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1104730563
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGORAWICH KERKARCHACHAICredential: MD
Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865
Mailing Address3650 Enso Way Apt 3308Jacksonville, FL 32224-0023 · (904) 840-8424
Phone(904) 840-8424
Sole ProprietorNo
Enumeration DateOctober 1, 2026
NPPES CertifiedOctober 1, 2026
✔ NPI 1104730563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4500 SAN PABLO RD S, Jacksonville, FL 32224
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE L WALSH PA-C/MPH
Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
DR. JAMI ANN ROTHE KINNUCAN M.D.
Internal Medicine (Gastroenterology)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
GLENN SHI MD
Orthopaedic Surgery
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
MICHELLE TULANG MD
Internal Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
RICARDO PAGAN MD
Hospitalist
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
CRYSTAL LYNN CRNA
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
LAUREN E FREED CRNA
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
MRS. MELINA VOLNER SOMMESE PA-C
Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2594

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gorawich Kerkarchachai's NPI number?

The NPI number for Gorawich Kerkarchachai is 1104730563. It was assigned to this individual provider in the NPPES registry on October 1, 2026.

Where is Gorawich Kerkarchachai located?

Gorawich Kerkarchachai practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 840-8424.

What is Gorawich Kerkarchachai's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Gorawich Kerkarchachai was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.