Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | OS14358 | FL |
N | 2081P2900X | Pain Medicine | OS14358 | FL |
NPI | 1073922944 |
---|---|
Provider Name | Tho Chi Le |
First Address | Fort Lauderdale, FL 33308-6906 |
Second Address | Fort Lauderdale, FL 33308-6906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2014 |
Last Update Date | 30/05/2019 |