Healthcare Provider Details

I. General information

NPI: 1891994208
Provider Name (Legal Business Name): PANIDA SRIAROON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2007
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 6TH ST S CRI BOX 4008
SAINT PETERSBURG FL
33701-4816
US

IV. Provider business mailing address

PO BOX 917770
ORLANDO FL
32891-0001
US

V. Phone/Fax

Practice location:
  • Phone: 727-553-3526
  • Fax:
Mailing address:
  • Phone: 813-974-2201
  • Fax: 813-974-2812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License NumberME 103424
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: