MR. XUONG VONG (NPI# 1881058998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881058998 |
| Entity Type | Individual |
| Full Name | MR. XUONG VONG |
| Credential | LMT |
| Practice Address |
9301 Summit Centre Way Maitland FL 32810 |
| Mailing Address |
2818 W Concord St Orlando FL 32805-1114 |
| Practice Telephone | 4076985511 |
| Mailing Telephone | 4076985511 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2019-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | MA61943 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225700000X | Massage Therapist | MAT 14537 | HI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9301 SUMMIT CENTRE WAY |
| City | MAITLAND |
| State | FL |
| Zip Code | 32810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1598273666 | Taylor Elizabeth Marshall | Behavior Technician | 3701 Maitland Summit Blvd, Orlando, FL 32810 | 2018-01-11 |
| 1962920595 | Sister With Destiny | Adult Companion | 5214 N. O. B. T Apt 103, Orlando, FL 32810 | 2017-09-04 |
| 1710408992 | Denise Lynn Mezquia | Optometrist | 1800 Pembrook Dr Ste 120, Orlando, FL 32810 | 2017-06-28 |
| 1407380603 | Naho Hattori | Student in an Organized Health Care Education/Training Program | 1800 Pembrook Dr Ste 200, Orlando, FL 32810 | 2017-04-13 |
| 1245774801 | Elite Physical Therapy & Health Care Services | Community/Behavioral Health | 5104 North Orange Blossom Trail, Suite 119, Orlando, FL 32810 | 2016-12-15 |
| 1841746518 | Marie Yveline Mauger | Licensed Practical Nurse | 4400 Park Eden Cir, Orlando, FL 32810 | 2016-08-31 |
| 1548619950 | Predestined 4 Purpose Inc | Home Health | 6826 Gadwall Lane, Orlando, FL 32810 | 2016-06-07 |
| 1760862726 | Edwin Colon | Case Management | 2660 Environs Blvd, Orlando, FL 32810 | 2015-06-04 |
| 1376984138 | Maria Knight | Speech-Language Pathologist | 8710 Maitland Summit Blvd, Orlando, FL 32810 | 2013-07-09 |
| Find all providers in zip 32810 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899689 | Haley Medlock | Massage Therapist | 826 Maple Ct, Maitland, FL 32751-6356 | 2020-10-22 |
| 1669079653 | Jamie Beverly | Massage Therapist | 1116 Grove St, Maitland, FL 32751-6318 | 2020-10-03 |
| 1588186860 | Andrea Gonsalves | Massage Therapist | 1985 Howell Branch Rd, Maitland, FL 32751-5901 | 2017-07-08 |
| 1629403811 | Emer Ann Farrelly | Massage Therapist | 1528 East Blvd, Maitland, FL 32751-3540 | 2013-09-06 |
| 1790967669 | Kerrye Jolynn Tabaczka | Massage Therapist | 110 N Orlando Ave, Suite 14, Maitland, FL 32751-5574 | 2007-12-03 |
| 1528284494 | Faith Renee Buhler | Massage Therapist | 549 N Wymore Rd, Suite 209, Maitland, FL 32751-4203 | 2007-04-18 |
| 1245379627 | Waldemar Kogan | Massage Therapist | 467 Lake Howell Rd, Suite 103, Maitland, FL 32751-5922 | 2007-02-05 |
| 1508912825 | Lisa M Kirchner | Massage Therapist | 1780 N Park Ave, Maitland, FL 32751-6500 | 2007-01-27 |
| 1124636212 | Ag Massage & Bodywork LLC | Massage Therapist | 1985 Howell Branch Rd, Maitland, FL 32751-5901 | 2020-07-15 |
| 1346723624 | Jennifer Denise Pollard | Massage Therapist | 237 Lookout Pl, Maitland, FL 32751-8433 | 2018-09-12 |
| Find all providers in MAITLAND | ||||
Please comment or provide details below to improve the information on MR. XUONG VONG.
| 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.