Gorawich Kerkarchachai, MD
Student in an Organized Health Care Education/Training Program in Jacksonville, FL. Individual provider (NPI-1).
NPI number1104730563
StatusActive
Last updated in NPPESOct 1, 2026
Details
- NPI
- 1104730563
- Entity type
- Individual (NPI-1)
- Name
- Gorawich Kerkarchachai
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2026
- Certification date
- Oct 1, 2026
- Last updated
- Oct 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
4500 San Pablo Rd SJacksonville, FL 32224-1865
Phone 904-840-8424
Mailing address
3650 Enso Way Apt 3308Jacksonville, FL 32224-0023
Phone 904-840-8424
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