Provider Demographics
NPI:1750715330
Name:TRI HUYNH DO PLLC
Entity type:Organization
Organization Name:TRI HUYNH DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRI
Authorized Official - Middle Name:
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:352-243-6600
Mailing Address - Street 1:PO BOX 121007
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34712-1007
Mailing Address - Country:US
Mailing Address - Phone:352-243-6600
Mailing Address - Fax:352-243-6608
Practice Address - Street 1:3105 CITRUS TOWER BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-6892
Practice Address - Country:US
Practice Address - Phone:352-243-6600
Practice Address - Fax:352-243-6608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-30
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9920207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty