Healthcare Provider Details

I. General information

NPI: 1255331146
Provider Name (Legal Business Name): VINCENT HSU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2005
Last Update Date: 11/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 N ORANGE AVE SUITE 235
ORLANDO FL
32804-4603
US

IV. Provider business mailing address

2501 N ORANGE AVE SUITE 235
ORLANDO FL
32804-4603
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-1967
  • Fax: 407-303-2885
Mailing address:
  • Phone: 407-303-1967
  • Fax: 407-303-2885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME91748
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: