Provider Demographics
NPI:1255455044
Name:VU, DAMON T (MD)
Entity type:Individual
Prefix:DR
First Name:DAMON
Middle Name:T
Last Name:VU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8146 CEREBELLUM WAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-1784
Mailing Address - Country:US
Mailing Address - Phone:727-264-8865
Mailing Address - Fax:727-608-4479
Practice Address - Street 1:8146 CEREBELLUM WAY
Practice Address - Street 2:SUITE 102
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-1784
Practice Address - Country:US
Practice Address - Phone:727-264-8865
Practice Address - Fax:727-608-4479
Is Sole Proprietor?:No
Enumeration Date:2007-03-18
Last Update Date:2014-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME98246208VP0014X, 208VP0014X
IA37617207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAF659XMedicare PIN