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Individual

DR. TONG C. DUONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1702 OHIO AVE, LYNN HAVEN, FL 32444-4290
(850) 647-8825
(850) 248-8825
Mailing address
1702 OHIO AVE, LYNN HAVEN, FL 32444-4290
(850) 647-8825
(850) 248-8825

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME80081
FL
2086S0105X
Surgery of the Hand (Surgery) Physician
ME80081
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
593031310
FEDERAL TAX ID
Enumeration date
07/07/2005
Last updated
09/11/2013
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