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Organization

DZUY LE MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDI LAROCHE (MSO CREDENTIALING COORDINATOR)
(321) 449-4168
Entity
Organization

Contact information

Practice address
211 CORAL SANDS DR, SUITE B, ROCKLEDGE, FL 32955-2749
(321) 690-0709
(321) 690-0976
Mailing address
150 N SYKES CREEK PKWY, # 300, MERRITT ISLAND, FL 32953-3488
(321) 449-4168
(321) 449-4164

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME79752
FL

Other

Enumeration date
01/14/2008
Last updated
08/06/2010
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