Individual
KELLY VAN TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3476 S UNIVERSITY DR, DAVIE, FL 33328-2000
(954) 475-4400
Mailing address
1301 SW 80TH TER APT 127, PLANTATION, FL 33324-4075
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA871
FL
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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