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Individual

DR. JAMIE QUEMAI THANH LE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
12187 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837
(407) 438-6682
(407) 438-6683
Mailing address
12187 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-6502
(407) 438-6682
(407) 438-6683

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5234
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020273600
FL
Enumeration date
06/20/2016
Last updated
11/11/2020
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