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Individual

BINH VU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5270 BABCOCK ST NE STE 1, PALM BAY, FL 32905-4616
(321) 241-6800
(321) 241-6890
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
82123
SC
208000000X
Pediatrics Physician
Primary
OS15964
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105682800
FL
Enumeration date
04/27/2016
Last updated
08/03/2023
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