Provider Demographics
NPI:1679451025
Name:HUYNH, LANDON
Entity type:Individual
Prefix:
First Name:LANDON
Middle Name:
Last Name:HUYNH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15882 CITRUS GROVE LOOP
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-9461
Mailing Address - Country:US
Mailing Address - Phone:407-412-2586
Mailing Address - Fax:407-412-2586
Practice Address - Street 1:15882 CITRUS GROVE LOOP
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-9461
Practice Address - Country:US
Practice Address - Phone:407-412-2586
Practice Address - Fax:407-412-2586
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS52757183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist