Individual
DR. PHUNG MINH HO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
875 CLARK ST STE A, OVIEDO, FL 32765-2900
(407) 366-7655
(407) 366-4129
Mailing address
875 CLARK ST STE A, OVIEDO, FL 32765-2900
(407) 366-7655
(407) 366-4129
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC 4991
FL
152W00000X
Optometrist
Primary
OPC4991
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014476800
—
FL
Enumeration date
09/08/2014
Last updated
06/16/2020
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