MR. GRITCHALACH PHOPHUTTHAPRASIT AP, DOM
NPI 1417695412
Acupuncturist in Mount Dora, FL

Active since May 20, 2022
3739 LAKE CENTER DR, MOUNT DORA, FL 32757(352) 729-2290(386) 774-6333 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 23, 2023, May 20, 2022 (2 updates tracked since 2022).

About Mr. Gritchalach Phophutthaprasit Ap, Dom NPPES

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

MR. GRITCHALACH PHOPHUTTHAPRASIT AP, DOM (NPI 1417695412) is an individual acupuncturist in Mount Dora, Florida, licensed in Florida (AP4357) and active in the NPI registry since May 2022. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417695412
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameMR. GRITCHALACH PHOPHUTTHAPRASITCredential: AP, DOM
Location Address3739 LAKE CENTER DRMount Dora, FL 32757-2363
Mailing Address2501 S Volusia Ave Ste 200Orange City, FL 32763-9134 · (386) 774-3333 · Fax (386) 410-1603
Fax(386) 774-6333
Sole ProprietorNo
Enumeration DateMay 20, 2022
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
NPI 1417695412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License Licensed in FL · AP4357
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
3739 LAKE CENTER DR, Mount Dora, FL 32757

Secondary Practice Locations 2

Location 12501 S Volusia Ave Ste 200Orange City, FL 32763-9134 · Phone (386) 774-6333 · Fax (386) 410-1603
Location 2746 Stirling Center Pl Ste 1108Lake Mary, FL 32746-4893 · Phone (407) 878-7791 · Fax (386) 410-1603

Accepted Insurance

Other Providers at the Same Location NPPES

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

Acupuncturist
3739 LAKE CENTER DR
MOUNT DORA, FL 32757

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 Gritchalach Phophutthaprasit's NPI number?

The NPI number for Gritchalach Phophutthaprasit is 1417695412. It was assigned to this individual provider in the NPPES registry on May 20, 2022.

Where is Gritchalach Phophutthaprasit located?

Gritchalach Phophutthaprasit practices at 3739 Lake Center Dr, Mount Dora, FL 32757. The listed phone number is (352) 729-2290.

What is Gritchalach Phophutthaprasit's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

What insurance does Gritchalach Phophutthaprasit accept?

Health plans from Providence Health Plan list Gritchalach Phophutthaprasit as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gritchalach Phophutthaprasit was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.