Individual
PHUONG-TRUC LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
701 W PLYMOUTH AVE, DELAND, FL 32720-3236
(407) 667-0444
(407) 667-4338
Mailing address
291 SOUTHHALL LN, SUITE 201, MAITLAND, FL 32751-7274
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS9571
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273332300
—
FL
01
—
28628
BCBS
FL
Enumeration date
06/20/2006
Last updated
11/01/2024
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