Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OPC5684 | FL |
NPI | 1003475138 |
---|---|
Provider Name | Dr. Victoria Huynh |
First Address | Largo, FL 33770-3276 |
Second Address | Largo, FL 33770-3276 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2019 |
Last Update Date | 12/06/2019 |