Organization
QUOC DANG DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. QUOC BAO NHU DANG D.O. (PHYSICIAN/OWNER)
(786) 832-4487
Entity
Organization
Contact information
Practice address
3475 SHERIDAN ST STE 201, HOLLYWOOD, FL 33021-3659
(786) 209-3451
(786) 431-2509
Mailing address
1521 ALTON RD STE 729, MIAMI BEACH, FL 33139-3301
(786) 209-3451
(786) 431-2509
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS14038
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS14038
MEDICAL LICENSE
FL
Enumeration date
07/07/2018
Last updated
04/11/2019
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