Individual
BAO TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 BUDINGER AVE STE 200, SAINT CLOUD, FL 34769-4123
(407) 891-2010
(407) 891-2811
Mailing address
1330 BUDINGER AVE STE 200, SAINT CLOUD, FL 34769-4123
(407) 891-2010
(407) 891-2811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301112953
MI
207W00000X
Ophthalmology Physician
Primary
ME149515
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110244500
—
FL
Enumeration date
06/20/2017
Last updated
07/21/2022
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