BAO TRUNG TA

TAVARES, FL
NPI1588340137
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  APRN11032617)
Enumeration Date2023-06-27
Last Update Date2024-05-06
Business Address
BAO TRUNG TA
1000 WATERMAN WAY
TAVARES, FL 32778-5266
Phone number: 352-253-3333
Mailing Address
BAO TRUNG TA
851 TRAFALGAR CT STE 200E
MAITLAND, FL 32751-7420
Phone number: