Provider Demographics
NPI:1881932895
Name:DANG, QUOC BAO NHU (DO)
Entity type:Individual
Prefix:DR
First Name:QUOC BAO
Middle Name:NHU
Last Name:DANG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1521 ALTON RD STE 729
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-3301
Mailing Address - Country:US
Mailing Address - Phone:786-209-3451
Mailing Address - Fax:786-431-2509
Practice Address - Street 1:3475 SHERIDAN ST STE 201
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3659
Practice Address - Country:US
Practice Address - Phone:786-209-3451
Practice Address - Fax:786-431-2509
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-25
Last Update Date:2019-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS14038208600000X
TXR2314208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery