| Doctor Name: | DR. VISIT SUPANICH GIRI |
| NPI Number: | 1538377809 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ACN208 |
| Business Practice Address: | 603 Scenic Circle Dr Florida Dept. Of Health/holmes County Health Dept. Bonifay, FL - 324253060 |
| Business Phone Number: | 8505478500 |
| Business Fax Number: | 8505478515 |
| Mailing Address: | 603 Scenic Circle Dr, BONIFAY |
| State: | FL |
| Postal Code: | 324253060 |
| Phone Number: | 8505478500 |
| Fax Number: | 8505478515 |
| NPI Enumeration Date: | 05/19/2007 |
| NPI Last Update Date: | 08/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ACN208 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |