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CUONG KIM LE DO
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1740713536
Individual Registrant: CUONG KIM LE DO
Gender: F
Not Sole Proprietor
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
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
Tel: 863-674-5520 Fax: 863-674-5521
Registration Information:
NPI: 1740713536
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | FL | OS16745 |
| N | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | FL | TBD |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 109265100 | FL | 05 |
