Provider Demographics
NPI:1386012623
Name:HOANG, SOKPAUL (CRNA)
Entity Type:Individual
Prefix:MR
First Name:SOKPAUL
Middle Name:
Last Name:HOANG
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:PAUL
Other - Middle Name:
Other - Last Name:HOANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:1836 WATERMERE LN
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-6121
Mailing Address - Country:US
Mailing Address - Phone:407-683-2147
Mailing Address - Fax:
Practice Address - Street 1:291 SOUTHHALL LN
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7274
Practice Address - Country:US
Practice Address - Phone:407-667-0444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9272200282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital