Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bordin Intachai, MD

Individual provider Family Medicine Physician · NPI 1457980641

Bordin Intachai, MD is a Family Practice in Orange Park, Florida. Qualified in 2017, 9 years ago. Practices with Inpatient Consultants of Florida, Inc, a 160-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone: (904) 639-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME158369 (FL)

Record details

NPI number1457980641
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2020
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Inpatient Consultants Of Florida, Inc — 160 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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