Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 21989 | FL |
N | 213EG0000X | General Practice | 21989 | FL |
Y | 1223P0221X | Pediatric Dentist | DN21989 | FL |
NPI | 1063863322 |
---|---|
Provider Name | Dr. Chau Leminh |
First Address | Parkland, FL 33076-4221 |
Second Address | Palm Springs, FL 33461-3066 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2016 |
Last Update Date | 27/07/2021 |