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CUONG KIM LE DO

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1740713536

Individual Registrant:
 CUONG KIM LE DO
Gender: F
Not Sole Proprietor

Location and contact information for practice:
930 S MAIN ST  LABELLE, FL 33935-4448 US
Tel: 863-674-5520  Fax: 863-674-5521

Contact information for business:
PO BOX 2147  FORT MYERS, FL 33902-2147 US
Tel: 863-674-5520  Fax: 863-674-5521

Registration Information:
NPI: 1740713536
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
FLOS16745
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
FLTBD

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
109265100FL05




HEALTH CARE JOBS FL - Page 1



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