IndividualActive
Akaluck Thatayatikom, MD
NPI 1366650236 · Pediatric Rheumatology Physician · Orlando, FL
Provider details
- NPI number
- 1366650236
- Entity type
- Individual
- Primary specialty
- Pediatric Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2006035310 (MO)
Practice location
2501 N Orange Ave Ste 586
Orlando, FL 32804-4603
Phone: (407) 821-3545
Fax: (407) 821-3546
Mailing address
2501 N Orange Ave Ste 586
Orlando, FL 32804-4603
Registry dates
- Enumerated
- 2007-05-21
- Last updated
- 2021-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.