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Bao-khuyen Nguyen Ly, PA-C
Medical Physician Assistant in Largo, Florida
NPI 1972149672

Bao-khuyen Nguyen Ly is a Medical Physician Assistant based in Tampa, FL and is specialized in Medical. Bao-khuyen Nguyen Ly practices in Largo, FL and has the professional credentials of PA-C. The NPI Number for Bao-khuyen Nguyen Ly is 1972149672 and holds a License No. PA9112468 (Florida).

The current practice location address for Bao-khuyen Nguyen Ly is 13670 Walsingham Rd, Largo, FL and can be reached out via phone at 727-593-9848.

Location: 13670 Walsingham Rd, Largo, FL, 33618-3512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972149672
Provider Name
Bao-khuyen Nguyen Ly
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
13670 Walsingham Rd, Largo, FL, 33618-3512
Phone Number
727-593-9848
Fax Number
Provider Enumeration Date
11/18/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
108286600 05 FL
institution
Provider Business Practice Location Address Details
Address
13670 Walsingham Rd
City
Largo
State
Florida
Zip
33774-3532
Phone Number
727-593-9848
Fax Number
person
Provider Business Mailing Address Details
Address
13670 Walsingham Rd
City
Largo
State
Florida
Zip
33774-3532
Phone Number
727-593-9848
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA9112468 (Florida)
Definition
Definition to come...
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