DR. SUPACHOKE - SIRISUWANANGKURA MD
NPI 1619073517
Internal Medicine in Lake City, FL

Q: What is Supachoke Sirisuwanangkura's NPI number?

The NPI number for Supachoke Sirisuwanangkura is 1619073517. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is Supachoke Sirisuwanangkura's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since September 16, 2006

619 S MARION AVE, LAKE CITY, FL 32025(386) 755-3016 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Supachoke - Sirisuwanangkura Md NPPES

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

DR. SUPACHOKE - SIRISUWANANGKURA MD (NPI 1619073517) is an individual internal medicine provider in Lake City, Florida, licensed in Missouri (35445) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1619073517

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SUPACHOKE - SIRISUWANANGKURACredential: MD

Location Address619 S MARION AVELake City, FL 32025-5808

Mailing Address4010 Nw 69th StGainesville, FL 32606-4214 · (352) 371-7624

Phone(386) 755-3016

Sole ProprietorNo

Enumeration DateSeptember 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1619073517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MO · 35445

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

619 S MARION AVE, Lake City, FL 32025

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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.

MRS. SHARON LYNEAR HAYES RN

Registered Nurse (Continuing Education/Staff Development)