Healthcare Provider Details

I. General information

NPI: 1922035088
Provider Name (Legal Business Name): ALBINO Y KUON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4360 NORTH US1
COCOA FL
32927
US

IV. Provider business mailing address

4360 NORTH US1
COCOA FL
32927
US

V. Phone/Fax

Practice location:
  • Phone: 321-632-3130
  • Fax: 321-632-2947
Mailing address:
  • Phone: 321-632-3130
  • Fax: 321-632-2947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME46171
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: