Individual
HAZEL HUONG LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-1250
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C09225
MD
363AM0700X
Medical Physician Assistant
PA117895
FL
Other
Enumeration date
01/04/2022
Last updated
01/26/2024
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