Individual
DR. HOANG T VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
440 SW PERIMETER GLN, LAKE CITY, FL 32025-0497
(386) 719-9663
(386) 719-9662
Mailing address
440 SW PERIMETER GLN, LAKE CITY, FL 32025-0497
(386) 719-9663
(386) 719-9662
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS11191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013362500
—
FL
01
—
14AF5
BSBS
FL
01
—
OS11191
MEDICL LICENSE
FL
Enumeration date
07/17/2007
Last updated
03/07/2022
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