Individual
JOHN DUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12500 N DALE MABRY HWY STE A, TAMPA, FL 33618-2809
(813) 960-7533
Mailing address
38135 MARKET SQUARE, ZEPHYRHILLS, FL 33542-7505
(352) 567-0188
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9117539
FL
Other
Enumeration date
04/05/2021
Last updated
07/08/2023
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