Individual
BAO XUAN HOANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1049 S STATE ROAD 7, WELLINGTON, FL 33414-6135
(561) 250-7047
Mailing address
1049 S STATE ROAD 7, WELLINGTON, FL 33414-6135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9113574
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9113574
FL DEPARTMENT OF HEALTH PA LICENSE
FL
Enumeration date
11/12/2020
Last updated
10/19/2021
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