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

Pantip Intachai

Individual provider Family Medicine Physician · NPI 1497215123

Pantip Intachai is a Family Practice in Orange Park, Florida. Qualified in 2019, 7 years ago. Practices with Inpatient Consultants of Florida, Inc, a 160-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019

Practice location Address checks out

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone: (904) 639-8500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME153109 (FL)

Record details

NPI number1497215123
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 20, 2019
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025
Mailing address2001 Kingsley Ave, Orange Park, FL 32073-5148

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 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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