Individual
DON LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8787 BRYAN DAIRY RD, SUITE 210, LARGO, FL 33777-1251
(727) 397-9641
(727) 393-4194
Mailing address
PO BOX 102222, ATTN: CREDENTIAL DEPT, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME92986
FL
207RX0202X
Medical Oncology Physician
Primary
ME92986
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281188000
—
FL
01
—
62601
BLUE CROSS / BLUE SHIELD
—
01
—
P000615853
MEDICAID RR
FL
Enumeration date
07/16/2007
Last updated
08/10/2022
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