Provider Demographics
NPI:1811915580
Name:ARUNAKUL, VECHAI LEE II (MD)
Entity type:Individual
Prefix:DR
First Name:VECHAI
Middle Name:LEE
Last Name:ARUNAKUL
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:4250 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32446-1917
Mailing Address - Country:US
Mailing Address - Phone:850-482-0017
Mailing Address - Fax:850-482-0018
Practice Address - Street 1:4295 3RD AVE
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:FL
Practice Address - Zip Code:32446-2120
Practice Address - Country:US
Practice Address - Phone:850-482-0017
Practice Address - Fax:850-482-0018
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME98090208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL278533100Medicaid
FLME98090OtherFLME
FL1811915580OtherNPI
FL95017OtherBCBSFL
FLAH774ZMedicare PIN