DR. TRUNG VAN LE (NPI# 1538355862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538355862 |
| Entity Type | Individual |
| Full Name | DR. TRUNG VAN LE |
| Credential | MD |
| Practice Address |
7487 S State Road 121 Macclenny FL 32063-5451 |
| Mailing Address |
820 Prudential Dr Ste 713 Jacksonville FL 32207-8209 |
| Practice Telephone | 9043965682 |
| Practice Fax Number | 9043460864 |
| Mailing Telephone | 9043965682 |
| Mailing Fax Number | 9043460864 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME42181 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528232063 | Trung Qui Le | Dentist | 9600-i Main St, Fairfax, VA 22031 | 2008-04-16 |
| 1659336931 | Trung Nguyen Le | Family Medicine | 2410 Ella Blvd, Ste. #a, Houston, TX 77008-2710 | 2006-04-19 |
| 1578034872 | Trung Le | Pharmacist | 201 Smith Rd, Ronkonkoma, NY 11779-2237 | 2018-12-12 |
| 1003325697 | Trung M Le | Physical Therapist | 165 Fairfield Ave, West Caldwell, NJ 07006-6414 | 2017-09-26 |
| 1902322811 | Trung Q. Le | Dental Hygienist | 18360 Nw 7th Ave, Miami Gardens, FL 33169-4410 | 2017-08-22 |
| 1942722988 | Trung Le | Registered Nurse | 1100 N State St, Los Angeles, CA 90033-5000 | 2017-07-12 |
| 1598285959 | Trung Le | Internal Medicine | 1001 Covington St, Youngstown, OH 44510-1617 | 2017-06-26 |
| 1386077279 | Trung Le | Emergency Medicine | 500 W Hospital Rd, French Camp, CA 95231-9693 | 2013-08-14 |
| 1235330531 | Trung Dang Le | Family Medicine | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2007-05-31 |
| 1518072990 | Trung Le | Plastic Surgery | 123 Summer St, Suite 570n, Worcester, MA 01608-1216 | 2006-08-19 |
| Street Address |
7487 S STATE ROAD 121 |
| City | MACCLENNY |
| State | FL |
| Zip Code | 32063-5451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538108410 | Muhammad Asghar Ali Shah | Psychiatry & Neurology | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2006-06-06 |
| 1073126140 | Felix Alexander Soleh | Nurse Practitioner | 7487 S State Road 121, Macclenny, FL 32063-5480 | 2020-08-28 |
| 1275152480 | Amy Michelle Harvey | Nurse Practitioner | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2020-04-09 |
| 1033625991 | Dustin Williams | Nurse Practitioner | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2017-12-14 |
| 1144605148 | Merredith Oakes | Nurse Practitioner | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2015-07-21 |
| 1578987764 | Amanda Nicole Simmons | Psychologist | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2014-02-10 |
| 1811242514 | Olga Ines Arias | Psychiatry & Neurology | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2012-07-18 |
| 1427358787 | Aron Croslin Bell | Counselor | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2010-11-02 |
| 1629227442 | Department of Children & Familes | Pharmacy | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2008-09-17 |
| 1538329719 | Toribio M Duhaylungsod | Psychiatry & Neurology | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2008-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164976 | Justin Gary Dugger | Pharmacist | 9218 Sr-228 E, Macclenny, FL 32063 | 2020-11-03 |
| 1285175091 | Katie Rourke | Massage Therapist | 6068 -1 Larimer Rd, Macclenny, FL 32063 | 2017-03-13 |
| 1174734073 | Jane Ellen Echterling | Psychologist | Northeast Florida State Hospital, 7487 S. State Road 121, Macclenny, FL 32063 | 2007-05-24 |
| 1992879886 | Baker County Schools | Local Education Agency (LEA) | 290 Jonathan St E, Macclenny, FL 32063 | 2006-11-20 |
| 1306918271 | Baker County School Board | Local Education Agency (LEA) | 290 Jonathan Street East, Macclenny, FL 32063 | 2006-11-15 |
| 1780760967 | Patricia Ann Sova | Pharmacist | 1436 Sw 6th St, Winn Dixie #0144, Macclenny, FL 32063 | 2006-10-31 |
| 1447347992 | Annie Clara Widemond | Pharmacy Technician | 1436 State Road 121 South, Macclenny, FL 32063 | 2006-10-06 |
| 1003900713 | Luna S. Iskander | Psychiatry & Neurology | 7487 South State Road 121, Macclenny, FL 32063 | 2006-10-03 |
| 1558456103 | Cam Hoang | Family Medicine | 7487 South State Road 171, Macclenny, FL 32063 | 2006-10-03 |
| 1245323492 | Raynors Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 698 F W Macclenny Ave, Ste F, Macclenny, FL 32063 | 2006-10-02 |
| Find all providers in zip 32063 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164488540 | Josue Jorge Caraballo | General Practice | 480 W Lowder St, Macclenny, FL 32063-2664 | 2006-04-25 |
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|---|---|---|---|---|
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| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
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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.