Huynh, Bao L
Huynh, Bao L is an sole proprietor health care provider with primary practice located at 3175 Citrus Tower Blvd , Clermont FL 34711-6885. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Huynh, Bao L can be contacted via phone (352) 240-3812.Contact Information
Primary practice address
3175 Citrus Tower Blvd
Clermont FL 34711-6885
Phone: (352) 240-3812
Fax: (888) 716-2003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ME 101771 | Florida |
Profile Details
| NPI number | 1902979594 |
|---|---|
| LBN Legal business name | Huynh, Bao L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Feb 5th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902979594 | NPPES |
| Florida | MEDICAID | 000245300 |
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