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1588340137
BAO TRUNG TA
TAVARES, FL
NPI
1588340137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL APRN11032617)
Enumeration Date
2023-06-27
Last Update Date
2024-05-06
Business Address
BAO TRUNG TA
1000 WATERMAN WAY
TAVARES, FL 32778-5266
Phone number: 352-253-3333
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Mailing Address
BAO TRUNG TA
851 TRAFALGAR CT STE 200E
MAITLAND, FL 32751-7420
Phone number:
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