Individual
LY VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-1227
Mailing address
4065 NW 87TH AVENUE, COOPER CITY, FL 33024
(954) 303-9670
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME144035
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/04/2016
Last updated
06/05/2020
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