IVY KIM LONG PHAN

ORLANDO, FL
NPI1134902745
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: FL  APRN11028195)
Enumeration Date2023-08-16
Last Update Date2023-11-21
Business Address
IVY KIM LONG PHAN APRN
1012 LUCERNE TER
ORLANDO, FL 32806-1015
Phone number: 407-423-1039
Mailing Address
IVY KIM LONG PHAN APRN
1012 LUCERNE TER FL 1
ORLANDO, FL 32806-1015
Phone number: 407-423-1039
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