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NPI Code Detail

MEDICARE: MAI THI KIM DO

MEDICARE: MAI THI KIM DO
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
1183500000XPharmacistPS64272FL

General Provider Information

NPI Number : 1649907429
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAI THI KIM DO
Provider Business Mailing Address
First Line : 13009 ROYAL FERN DR
Second Line :
City : ORLANDO
State : FL
Zip : 32828-7721
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16900 E COLONIAL DR
Second Line :
City : ORLANDO
State : FL
Zip : 32820-1911
Country : US
Telephone Number : 407-568-4199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2022
Last Update Date : 08/02/2022

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Directions to “ MAI THI KIM DO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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