Search › Florida › 183500000X
Bao Vy Ly
NPI 1285479618 · on the registry since 2024
Practice
- Address
- 2233 W Us Highway 90
Lake City, FL 32055 - Phone
- (386) 752-8090
- Organisation at this address
- Holiday Cvs Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 5999 Normandy Blvd, Jacksonville, FL
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- VA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida