Chuong Thanh Le, MD | |
7819 Nw 228th Street, Raiford, FL 32026 | |
(904) 368-3454 | |
(904) 368-3475 |
Full Name | Chuong Thanh Le |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 7819 Nw 228th Street, Raiford, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508099946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME 50042 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Chuong Thanh Le, MD 7819 Nw 228th Street, Raiford, FL 32026 Ph: (904) 368-3454 | Chuong Thanh Le, MD 7819 Nw 228th Street, Raiford, FL 32026 Ph: (904) 368-3454 |
Wilbur Bala, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: Lawtey Correctional Institution, 7819 Nw 228 St., Raiford, FL 32026 Phone: 904-782-2318 Fax: 904-782-2011 | |
Jeremy Scott West, General Practice Medicare: Not Enrolled in Medicare Practice Location: 23916 Nw 83rd Ave, Raiford, FL 32083 Phone: 904-368-2500 |