DR. MATTHEW BRIAN LUONG (NPI# 1336523182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336523182 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW BRIAN LUONG |
| Credential | PHARM.D. |
| Practice Address |
619 S Marion Ave Lake City FL 32025-5808 |
| Mailing Address |
910 Nw 37th Ter Gainesville FL 32605-4942 |
| Practice Telephone | 3867553016 |
| Mailing Telephone | 9412848362 |
| Enumeration Date | 2015-07-11 |
| Last Update Date | 2015-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | PS53360 | FL | Student, Health Care |
| Street Address |
619 S MARION AVE |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-5808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275520660 | Kay B Ramnarine | Counselor | 619 S Marion Ave, Lake City, FL 32025-5808 | 2005-09-30 |
| 1104442441 | Danielle Marie Howard | Student in an Organized Health Care Education/Training Program | 619 S Marion Ave, Lake City, FL 32025-5808 | 2020-06-23 |
| 1427672617 | James Wooley | Recreation Therapist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2020-06-03 |
| 1316573611 | Tara S. Keen | Nurse Practitioner | 619 S Marion Ave, Lake City, FL 32025-5808 | 2020-03-18 |
| 1023653086 | Yen Margaret Dao Barnes | Pharmacist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-11-14 |
| 1790328847 | Brittni Cleland | Dance Therapist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-10-22 |
| 1801447800 | Warrenette Yvette Kelly | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-09-23 |
| 1982263117 | Katherine Susannah Mary Thomas | Optometrist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-06-11 |
| 1952871220 | Michael Canard | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2018-11-29 |
| 1174009914 | Ashlyn Elizabeth Kerce | Pharmacist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2018-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205463312 | Andrea Huxtable | Student in an Organized Health Care Education/Training Program | 1800-200 S Sweetbriar Ave, Lake City, MI 49651 | 2020-03-26 |
| 1598222036 | Reid Lundell | Student in an Organized Health Care Education/Training Program | 35275 Martin St, Lake City, MN 55041-5601 | 2019-02-20 |
| 1104442441 | Danielle Marie Howard | Student in an Organized Health Care Education/Training Program | 619 S Marion Ave, Lake City, FL 32025-5808 | 2020-06-23 |
| 1386082840 | Ahmed Abdelmonem Ghonim | Student in an Organized Health Care Education/Training Program | 619 S Marion Ave, Lake City, FL 32025-5808 | 2013-06-06 |
| 1215225628 | John Christopher Bullard | Student in an Organized Health Care Education/Training Program | 619 S Marion Ave, Lake City, FL 32025-5808 | 2011-07-19 |
| 1932497401 | Matthew Strods | Student in an Organized Health Care Education/Training Program | 619 S Marion Ave, Lake City, FL 32025-5808 | 2011-07-18 |
| 1548573777 | John Thomas Sheehan | Student in an Organized Health Care Education/Training Program | 619 S Marion Ave, Lake City, FL 32025-5808 | 2010-07-16 |
| 1447563671 | Jessica Crews Roberts | Student in an Organized Health Care Education/Training Program | 619 S Marion Ave, 119, Lake City, FL 32025-5808 | 2010-07-16 |
| 1508197989 | Brinley Rhanita Mcclary | Student in an Organized Health Care Education/Training Program | 619 S Marion Ave, Lake City, FL 32025-5808 | 2010-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851126 | Jonathan Patrick Noel | Student in an Organized Health Care Education/Training Program | 410 Celebration Pl Ste 304, Kissimmee, FL 34747-5436 | 2020-11-08 |
| 1982205928 | Christian Miguel Castilla | Student in an Organized Health Care Education/Training Program | 6800 Nw 39th Ave Lot 173, Coconut Creek, FL 33073-2159 | 2020-11-05 |
| 1326649682 | Margely Carrion | Student in an Organized Health Care Education/Training Program | 4931 Town N Country Blvd, Tampa, FL 33615-4640 | 2020-11-03 |
| 1477153286 | Bruce Jordan Billinger | Student in an Organized Health Care Education/Training Program | 8851 Us Highway 19 N Apt 2307, Pinellas Park, FL 33782-5842 | 2020-10-30 |
| 1548860711 | Lee Thomas Hagenbaumer | Student in an Organized Health Care Education/Training Program | 10100 Baymeadows Rd Apt 802, Jacksonville, FL 32256-7196 | 2020-10-27 |
| 1730788266 | Aarcha Mary Thomas | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd Fl 33028, Pembroke Pines, FL 33028-1006 | 2020-10-26 |
| 1053910752 | Nicole Maria Cooke | Student in an Organized Health Care Education/Training Program | 211 Buck Run Way, Saint Augustine, FL 32092-1833 | 2020-10-22 |
| 1063011013 | Aldo Menendez Arcia | Student in an Organized Health Care Education/Training Program | 12250 Nw 8th St, Miami, FL 33182-2421 | 2020-10-21 |
| 1699374785 | Meghan Elizabeth Berry | Student in an Organized Health Care Education/Training Program | 6621 Canopy Lakes Ct Apt 402, Tampa, FL 33625-4174 | 2020-10-20 |
| 1285233403 | Angel Rose Picart | Student in an Organized Health Care Education/Training Program | 12741 Sw 108th St, Miami, FL 33186-3514 | 2020-10-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.