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

Individual provider Gastroenterology Physician · NPI 1740701002

Passisd Laoveeravat, MD is a Gastroenterology Physician in Jacksonville, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2017
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

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3601 4th St # Ms 9410, Lubbock, TX 79430-0002 — (806) 743-3381

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence ME173483 (FL)

Record details

NPI number1740701002
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 27, 2017
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

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