Provider Demographics
NPI:1932354982
Name:HO, ANGEL NHUTHUY (MD)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:NHUTHUY
Last Name:HO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:823 N MILLS AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-4021
Mailing Address - Country:US
Mailing Address - Phone:407-895-5441
Mailing Address - Fax:407-895-5443
Practice Address - Street 1:823 N MILLS AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-4021
Practice Address - Country:US
Practice Address - Phone:407-895-5441
Practice Address - Fax:407-895-5443
Is Sole Proprietor?:No
Enumeration Date:2008-11-18
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME107201207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME107201OtherLICENSE