Individual
CHHENG LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5309 E STATE ROAD 64, BRADENTON, FL 34208-5534
(941) 747-9818
Mailing address
101 RIVERFRONT BLVD STE 710, BRADENTON, FL 34205-8812
(941) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
58645
CA
363A00000X
Physician Assistant
Primary
PA9115734
FL
Other
Enumeration date
10/21/2020
Last updated
01/20/2023
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