Healthcare Provider Details

I. General information

NPI: 1326736596
Provider Name (Legal Business Name): DEBBIE HOANG DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 BOBCAT VILLAGE CENTER RD
NORTH PORT FL
34288-8997
US

IV. Provider business mailing address

PO BOX 947407
ATLANTA GA
30394-7407
US

V. Phone/Fax

Practice location:
  • Phone: 941-251-2930
  • Fax: 941-257-2923
Mailing address:
  • Phone: 941-917-2600
  • Fax: 941-917-7884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS24070
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: