Individual
DR. DON VONGVIPHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-1020
Mailing address
235 NAUTICA WAY, DESTIN, FL 32541-2565
(650) 714-5919
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS22616
FL
208D00000X
General Practice Physician
Primary
02005485A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02005485A
INDIANA STATE MEDICAL LICENSE
IN
Enumeration date
03/02/2017
Last updated
09/03/2025
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