Individual
PHUONG BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
125 PATRICIA AVE, SUITE B, DUNEDIN, FL 34698-8100
(727) 331-8740
Mailing address
7864 93RD ST, SEMINOLE, FL 33777-4022
(941) 223-8552
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9107732
FL
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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