Provider Demographics
NPI:1881640050
Name:DAO, JOHN QUAN VINH (DO)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:QUAN VINH
Last Name:DAO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3643 CARUSO PLACE
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765
Mailing Address - Country:US
Mailing Address - Phone:407-381-4810
Mailing Address - Fax:
Practice Address - Street 1:901 NORTH LAKE DESTINY DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32751-4844
Practice Address - Country:US
Practice Address - Phone:407-200-2273
Practice Address - Fax:407-381-4380
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 9307207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine