Provider Demographics
NPI:1932257441
Name:CHE, TUONG QUY (MD)
Entity Type:Individual
Prefix:
First Name:TUONG QUY
Middle Name:
Last Name:CHE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3362 LUKAS CV
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32820-1416
Mailing Address - Country:US
Mailing Address - Phone:321-804-5505
Mailing Address - Fax:
Practice Address - Street 1:629 N FERNCREEK AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-4802
Practice Address - Country:US
Practice Address - Phone:407-228-2126
Practice Address - Fax:407-228-2273
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME99592208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics