Individual
DR. TAN DUY LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5922 CATTLEMEN LN STE 201, SARASOTA, FL 34232-6204
(941) 371-9773
(941) 556-0341
Mailing address
5922 CATTLEMEN LN, SUITE 201, SARASOTA, FL 34232-6204
(941) 371-9773
(941) 556-0343
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101016546
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148PP
BCBS FL PROVIDER NUMBER
FL
01
—
1730324245
NPI
FL
Enumeration date
12/12/2008
Last updated
05/08/2013
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