Individual
DR. DUSTIN N LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4737 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1400
(407) 705-3222
Mailing address
4737 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1400
(407) 705-3222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME114777
FL
Other
Enumeration date
05/18/2007
Last updated
01/02/2014
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