Provider Demographics
NPI:1194715607
Name:LUU, VINH DUC (MD)
Entity type:Individual
Prefix:DR
First Name:VINH
Middle Name:DUC
Last Name:LUU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8340 COLLIER BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114-3589
Mailing Address - Country:US
Mailing Address - Phone:393-484-2212
Mailing Address - Fax:239-354-6588
Practice Address - Street 1:8340 COLLIER BLVD STE 202
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114
Practice Address - Country:US
Practice Address - Phone:239-348-4221
Practice Address - Fax:239-354-6588
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA48198207RC0000X
HI14025207RC0000X
OR27181207RC0000X
FLME112813207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLGG060ZOtherMEDICARE PTAN
WAP00732012OtherRAILROAD MEDICARE