Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP9248139 | FL |
NPI | 1003119322 |
---|---|
Provider Name | Mr. Heng Chai Lai |
First Address | Orlando, FL 32806-1110 |
Second Address | Orlando, FL 32806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2010 |
Last Update Date | 04/12/2019 |