=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508153404
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALBINO Y KUON MD PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/30/2011
-----------------------------------------------------
Last Update Date | 06/30/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4360 NORTH US 1
-----------------------------------------------------
City | COCOA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32927-2141
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 321-632-3130
-----------------------------------------------------
Fax | 321-632-3130
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4360 NORTH US 1
-----------------------------------------------------
City | COCOA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32927-2141
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 321-632-3130
-----------------------------------------------------
Fax | 321-632-3130
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PHYSICIAN
-----------------------------------------------------
Name | ALBINO Y KUON
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 321-632-3130
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084N0400X
-----------------------------------------------------
Taxonomy Name | Neurology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------