Individual
HUAN NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8220 N DALE MABRY HWY, TAMPA, FL 33614-2686
(813) 887-4949
(813) 887-4031
Mailing address
11223 MADISON PARK DR, TAMPA, FL 33625-3996
(727) 453-2260
(813) 887-4031
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3931
FL
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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