Healthcare Provider Details

I. General information

NPI: 1558299008
Provider Name (Legal Business Name): LYNN HUYNH
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 CELEBRATION PL STE 300
CELEBRATION FL
34747-4606
US

IV. Provider business mailing address

224 HAVELOCK ST
ORLANDO FL
32824-8781
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-3856
  • Fax:
Mailing address:
  • Phone: 321-947-8454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS64230
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: