Provider Demographics
NPI:1023185998
Name:HOI VAN DO MD PA
Entity Type:Organization
Organization Name:HOI VAN DO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOI
Authorized Official - Middle Name:VAN
Authorized Official - Last Name:DO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-898-4140
Mailing Address - Street 1:1617 HILLCREST ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-4809
Mailing Address - Country:US
Mailing Address - Phone:407-898-4140
Mailing Address - Fax:407-898-4144
Practice Address - Street 1:1617 HILLCREST ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-4809
Practice Address - Country:US
Practice Address - Phone:407-898-4140
Practice Address - Fax:407-898-4144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0045208207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D21622Medicare UPIN
FL47679Medicare ID - Type Unspecified