Individual
LINH T VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1771
(321) 434-1775
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1771
(321) 434-1775
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME144229
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MQ020
FL MEDICARE
FL
Enumeration date
05/17/2017
Last updated
06/09/2021
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