Individual
BAO L HUYNH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3175 CITRUS TOWER BLVD, CLERMONT, FL 34711-6885
(352) 240-3812
(888) 716-2003
Mailing address
3175 CITRUS TOWER BLVD, CLERMONT, FL 34711-6885
(352) 240-3812
(888) 716-2003
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME 101771
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000245300
—
FL
Enumeration date
11/15/2006
Last updated
02/05/2020
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