Chuong Thanh Le M.D.

NPI 1508099946 - General Practice - 208D00000X

NPI Details
NPI 1508099946
Gender Male
Enumeration Date 09/02/2009
Last Updated 09/02/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
7819 NW 228TH STREET
RAIFORD FL, 32026, US
Phone (904) 368-3454
Fax (904) 368-3475
Business Location
7819 NW 228TH STREET
RAIFORD FL, 32026, US
Phone (904) 368-3454
Fax (904) 368-3475
Toxanomy
Taxonomy Code 208D00000X
License State Florida
License Number ME 50042
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According to our database, Chuong Thanh Le M.D. NPI is 1508099946, taxonomy code is 208D00000X and license number is ME 50042, license state is located at Florida. Chuong Thanh Le M.D. physically located at 7819 Nw 228th Street, Raiford FL, 32026. NPI Number Chuong Thanh Le M.D. has the Individual type.

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1508099946 NPI number is provided on an as is basis without warranty of any kind. 1508099946 is maintained by the National Plan & Provider Enumeration System. The contents of Chuong Thanh Le M.D. are for informational purposes only.