Provider Demographics
NPI:1992888515
Name:DAVID BUI MD LLC
Entity type:Organization
Organization Name:DAVID BUI MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:QUANG
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-895-3407
Mailing Address - Street 1:700 N HAMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-4234
Mailing Address - Country:US
Mailing Address - Phone:407-895-3407
Mailing Address - Fax:407-898-8000
Practice Address - Street 1:700 N HAMPTON AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-4234
Practice Address - Country:US
Practice Address - Phone:407-895-3407
Practice Address - Fax:407-898-8000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 60771261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL373158800Medicaid
FL373158800Medicaid
FL23481V/ AC 592Medicare PIN