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Chuong Thanh Le, MD
General Practice Physician in Raiford, Florida
NPI 1508099946

Chuong Thanh Le is a General Practice Physician based in Raiford, FL. Chuong Thanh Le practices in Raiford, FL and has the professional credentials of MD. The NPI Number for Chuong Thanh Le is 1508099946 and holds a License No. ME 50042 (Florida).

The current practice location address for Chuong Thanh Le is 7819 Nw 228Th Street, Raiford, FL and can be reached out via phone at 904-368-3454 and via fax at 904-368-3475.

Location: 7819 Nw 228Th Street, Raiford, FL, 32026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508099946
Provider Name
Chuong Thanh Le
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7819 Nw 228Th Street, Raiford, FL, 32026
Phone Number
904-368-3454
Fax Number
904-368-3475
Provider Enumeration Date
09/02/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7819 Nw 228Th Street
City
Raiford
State
Florida
Zip
32026
Phone Number
904-368-3454
Fax Number
904-368-3475
person
Provider Business Mailing Address Details
Address
7819 Nw 228Th Street
City
Raiford
State
Florida
Zip
32026
Phone Number
904-368-3454
Fax Number
904-368-3475
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ME 50042 (Florida)
Definition
Definition to come...
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