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Michelle Ly, MD
Student in an Organized Health Care Education/Training Program in Tampa, Florida
NPI 1710568449

Michelle Ly is a Student in an Organized Health Care Education/Training Program based in Tampa, FL. Michelle Ly practices in Tampa, FL and has the professional credentials of MD. The NPI Number for Michelle Ly is 1710568449 and holds a License No. (Florida).

The current practice location address for Michelle Ly is 17 Davis Blvd Ste 308, Tampa, FL and can be reached out via phone at 727-462-7000.

Location: 17 Davis Blvd Ste 308, Tampa, FL, 33606-3438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710568449
Provider Name
Michelle Ly
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
17 Davis Blvd Ste 308, Tampa, FL, 33606-3438
Phone Number
727-462-7000
Fax Number
Provider Enumeration Date
04/15/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
117010200 05 FL
institution
Provider Business Practice Location Address Details
Address
17 Davis Blvd Ste 308
City
Tampa
State
Florida
Zip
33606-3438
Phone Number
727-462-7000
Fax Number
person
Provider Business Mailing Address Details
Address
17 Davis Blvd Ste 308
City
Tampa
State
Florida
Zip
33606-3438
Phone Number
727-462-7000
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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