MEDICARE: TUONG VI VO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS44679	FL

General Provider Information

NPI Number	:	1518567213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TUONG VI VO

Provider Business Mailing Address
First Line	:	9276 WOODCRANE DR
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-0044
Country	:	US
Telephone Number	:	713-876-3992
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 US HIGHWAY 98 N
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33809-3603
Country	:	US
Telephone Number	:	863-853-3701
Fax Number	:	863-853-3506

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2020
Last Update Date	:	10/30/2020

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Directions to “ TUONG VI VO ” Practice Location

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