Individual
CHAU LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17000 SW 90TH AVE, PALMETTO BAY, FL 33157-4505
(734) 239-5099
Mailing address
17000 SW 90TH AVE, PALMETTO BAY, FL 33157-4505
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
TN55140
FL
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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