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Organization
PHUONG LU DO PA
Active
Organization
PHUONG LU DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAM-PHUONG T LU D.O. (PRESIDENT)
(904) 727-5151
Entity
Organization
Contact information
Practice address
1201 MONUMENT RD, SUITE 201, JACKSONVILLE, FL 32225
(904) 727-5151
(904) 727-5180
Mailing address
PO BOX 550937, JACKSONVILLE, FL 32255-0937
(904) 727-5151
(904) 727-5180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS 8549
FL
Other
Enumeration date
12/15/2008
Last updated
09/18/2013
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