Luong, Van M

Luong, Van M is an sole proprietor health care provider with primary practice located at 555 W Sr 434 Mp Ss Admin, Longwood FL 32750-5119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Luong, Van M can be contacted via phone (321) 842-2994.

Contact Information

Primary practice address
555 W Sr 434 Mp Ss Admin Longwood FL 32750-5119
Phone: (321) 842-2994
Fax: (407) 767-5801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9222045 Florida

Profile Details

NPI number 1528324357
LBN Legal business name Luong, Van M
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2012
Last updated Nov 14th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528324357 NPPES
Florida Other ARNP9222045 MEDICAL LICENSE
Florida MEDICAID 006502300 MEDICAL LICENSE

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