Individual
DR. LUON VAN TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
440 CHINAHILL CT, APOPKA, FL 32712-2813
(407) 884-0438
Mailing address
440 CHINAHILL CT, APOPKA, FL 32712-2813
(407) 884-0438
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0064009
FL
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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