Healthcare Provider Details

I. General information

NPI: 1467610089
Provider Name (Legal Business Name): BAO-THUY DUY HOANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 S CITRUS AVE STE 302
INVERNESS FL
34452-4701
US

IV. Provider business mailing address

131 S CITRUS AVE STE 302
INVERNESS FL
34452-4701
US

V. Phone/Fax

Practice location:
  • Phone: 352-637-0211
  • Fax: 352-637-5733
Mailing address:
  • Phone: 352-637-0211
  • Fax: 352-637-5733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number60 269400
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME124185
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberTRN12315
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberME124185
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: