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Search › Florida › 207R00000X

Dustin Ly, MD

NPI 1710195268 · on the registry since 2007 · sole proprietor

Practice

Address
4737 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone
(407) 705-3222
Organisation at this address
East Lake Medical Clinic
Premier Life Health Services, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-01-02

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