Individual
DR. THAO N VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
83 W COLUMBIA ST, ORLANDO, FL 32806
(321) 843-3220
(321) 843-3210
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-0296
(352) 273-8234
(352) 273-8593
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME128370
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN18861
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017877200
—
FL
01
—
ME128370
MEDICAL LICENSE
FL
Enumeration date
05/23/2013
Last updated
05/05/2017
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