| Doctor Name: | VINITA PATANAPHAN |
| NPI Number: | 1356323570 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | D21798 |
| Business Practice Address: | 1200 Brass Mill Rd Suite E Belcamp, MD - 210171217 |
| Business Phone Number: | 4102729224 |
| Business Fax Number: | 4105757591 |
| Mailing Address: | 2234 Colonial Blvd, FORT MYERS |
| State: | FL |
| Postal Code: | 339071412 |
| Phone Number: | 2399317342 |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2005 |
| NPI Last Update Date: | 01/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0001X |
| License Number: | D21798 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Radiation Oncology |
| Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |