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Individual

MR. MAN QUANG LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(561) 955-4600
(833) 625-1604
Mailing address
1001 NW 13TH ST STE 201, BOCA RATON, FL 33486-2269
(561) 955-6663
(561) 955-2879

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME0082315
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME82315
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME82315
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2307614
FL
05
2307614
LA
01
256494YKE8
MEDICARE PIN
FL
05
266440200
FL
Enumeration date
05/13/2006
Last updated
12/20/2022
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