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NPI Code Detail

MEDICARE: VU LE

MEDICARE:   VU  LE
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
1183500000XPharmacistPS59905FL

General Provider Information

NPI Number : 1649882465
Entity Type Code : Individual
Provider Name (Legal Business Name) : VU LE
Provider Business Mailing Address
First Line : 105 MARINER BLVD
Second Line :
City : SPRING HILL
State : FL
Zip : 34609-5625
Country : US
Telephone Number : 352-200-5835
Fax Number :
Provider Business Practice Location Address
First Line : 105 MARINER BLVD
Second Line :
City : SPRING HILL
State : FL
Zip : 34609-5625
Country : US
Telephone Number : 352-200-5835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2020
Last Update Date : 08/21/2020

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Directions to “ VU LE ” Practice Location

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