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Bao Trung Ta
Student in an Organized Health Care Education/Training Program in Tavares, Florida
NPI 1588340137

Bao Trung Ta is a Student in an Organized Health Care Education/Training Program based in Maitland, FL. Bao Trung Ta practices in Tavares, FL. The NPI Number for Bao Trung Ta is 1588340137 and holds a License No. (Florida).

The current practice location address for Bao Trung Ta is 1000 Waterman Way, Tavares, FL and can be reached out via phone at 352-253-3333.

Location: 1000 Waterman Way, Tavares, FL, 32751-7420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588340137
Provider Name
Bao Trung Ta
Credential
Provider Entity Type
Individual
Gender
Male
Address
1000 Waterman Way, Tavares, FL, 32751-7420
Phone Number
352-253-3333
Fax Number
Provider Enumeration Date
06/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Waterman Way
City
Tavares
State
Florida
Zip
32778-5266
Phone Number
352-253-3333
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Waterman Way
City
Tavares
State
Florida
Zip
32778-5266
Phone Number
352-253-3333
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.
()
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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