DR. Luon Van Ta, M.D.

NPI #1548599095 in Apopka, Florida

Provider Information

NPI Number
1548599095
Entity Type
Individual
Name
DR. Luon Van Ta, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
General Practice
Credential
M.D.
Enumeration Date
Dec 11, 2009
Last Updated
Dec 11, 2009

Practice Location

Address
440 CHINAHILL CT
City
Apopka
State
Florida
ZIP Code
32712-2813
Phone
(407) 884-0438

Specialties & Taxonomy Codes

Specialty
General Practice

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Organizations

Provider Name
Park Ave Medical Group

Part of Apopka Wellness Center

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