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Mr. Bo Gong
Student in an Organized Health Care Education/Training Program in Kissimmee, Florida
NPI 1407115835

Bo Gong is a Student in an Organized Health Care Education/Training Program based in Kissimmee, FL. Bo Gong practices in Kissimmee, FL. The NPI Number for Bo Gong is 1407115835 and holds a License No. MA68483 (Florida).

The current practice location address for Bo Gong is 2579 Oak St, Kissimmee, FL and can be reached out via phone at 407-288-4865. You can also correspond with Bo Gong through the mailing address at 2579 OAK ST, KISSIMMEE, FL - 34744-4946 (mailing address contact number: 407-288-4865).

Location: 2579 Oak St, Kissimmee, FL, 34744-4946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407115835
Provider Name
Bo Gong
Credential
Provider Entity Type
Individual
Gender
Male
Address
2579 Oak St, Kissimmee, FL, 34744-4946
Phone Number
407-288-4865
Fax Number
Provider Enumeration Date
05/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2579 Oak St
City
Kissimmee
State
Florida
Zip
34744-4946
Phone Number
407-288-4865
Fax Number
person
Provider Business Mailing Address Details
Address
2579 Oak St
City
Kissimmee
State
Florida
Zip
34744-4946
Phone Number
407-288-4865
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MA68483 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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