Provider Demographics
NPI:1386927853
Name:HO, THOA (DOM)
Entity type:Individual
Prefix:DR
First Name:THOA
Middle Name:
Last Name:HO
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N DENNING DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-3736
Mailing Address - Country:US
Mailing Address - Phone:321-800-4455
Mailing Address - Fax:
Practice Address - Street 1:200 N DENNING DR STE 7
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-3736
Practice Address - Country:US
Practice Address - Phone:321-800-4455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3029171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist