IndividualActive
Passisd Laoveeravat, MD
NPI 1740701002 · Gastroenterology Physician · Jacksonville, FL
Provider details
- NPI number
- 1740701002
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME173483 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
Street-level locationGet directions
Mailing address
Po Box 860912
Minneapolis, MN 55486-0912
Additional practice locations (1)
- 3601 4th St # Ms 9410Lubbock, TX 79430-0002Phone: (806) 743-3381
Registry dates
- Enumerated
- 2017-06-27
- Last updated
- 2025-06-12
- Certified
- 2025-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.