IndividualActive
Gritchalach Phophutthaprasit, AP, DOM
NPI 1417695412 · Acupuncturist · Mount Dora, FL
Gritchalach Phophutthaprasit, AP, DOM is a Acupuncturist provider in Mount Dora, FL (NPI 1417695412).
Provider details
- NPI number
- 1417695412
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Credential
- AP, DOM
- Sex
- Male
- Sole proprietor
- No
- License
- AP4357 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3739 Lake Center Dr
Mount Dora, FL 32757-2363
Phone: (352) 729-2290
Fax: (386) 774-6333
Street-level locationGet directions
Mailing address
2501 S Volusia Ave Ste 200
Orange City, FL 32763-9134
Additional practice locations (2)
- 746 Stirling Center Pl Ste 1108Lake Mary, FL 32746-4893Phone: (407) 878-7791Fax: (386) 410-1603
- 2501 S Volusia Ave Ste 200Orange City, FL 32763-9134Phone: (386) 774-6333Fax: (386) 410-1603
Registry dates
- Enumerated
- 2022-05-20
- Last updated
- 2023-08-23
- Certified
- 2023-08-23
Frequently asked questions
- What is Gritchalach Phophutthaprasit's NPI number?
- Gritchalach Phophutthaprasit's National Provider Identifier (NPI) is 1417695412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gritchalach Phophutthaprasit's specialty?
- Gritchalach Phophutthaprasit is listed in the NPPES registry with a primary specialty of Acupuncturist (Other Service Providers).
- Where is Gritchalach Phophutthaprasit located?
- Gritchalach Phophutthaprasit's practice location on file with NPPES is 3739 Lake Center Dr, Mount Dora, FL 32757-2363.
- What is Gritchalach Phophutthaprasit's phone number?
- The practice phone number listed in the NPPES registry for Gritchalach Phophutthaprasit is (352) 729-2290.
- Is Gritchalach Phophutthaprasit's NPI active?
- Yes — Gritchalach Phophutthaprasit's NPI (1417695412) is active in the NPPES registry as of the last update on 2023-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.