Individual
AN DUC DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5050 CONWAY RD STE 1, ORLANDO, FL 32812-1258
(407) 203-0005
Mailing address
5050 CONWAY RD STE 1, ORLANDO, FL 32812-1258
(407) 203-0005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS50205
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518366319
—
FL
Enumeration date
10/14/2011
Last updated
01/04/2024
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