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Individual

MAI-LYNN BUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
11215 METRO PKWY STE 100, FORT MYERS, FL 33966-1206
(239) 208-2212
Mailing address
7031 SW 62ND AVE, SOUTH MIAMI,, FL 33143
(770) 865-2271

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35C.000303
OH
2084N0400X
Neurology Physician
92155
GA
2084N0400X
Neurology Physician
Primary
OS17197
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1730628579
FL
Enumeration date
02/13/2017
Last updated
10/30/2024
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