| David Bui MD LLC | |
|
700 N Hampton Ave Orlando FL 32803-4234 | |
| (407) 895-3407 | |
| (407) 898-8000 |
| Full Name | David Bui MD LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 N Hampton Ave, Orlando, Florida |
| Authorized Official Name and Position | David Quang Bui (PRESIDENT) |
| Authorized Official Contact | 4078953407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Bui MD LLC 700 N Hampton Ave Orlando FL 32803-4234 Ph: (407) 895-3407 | David Bui MD LLC 700 N Hampton Ave Orlando FL 32803-4234 Ph: (407) 895-3407 |
| NPI Number | 1992888515 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 05/09/2017 |
| Medicare PECOS PAC ID | 2365727310 |
|---|---|
| Medicare Enrollment ID | O20170314001655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992888515 | NPI | - | NPPES |
| 373158800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME 60771 (Florida) | Primary |
| Provider Name | Michael Lepore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780685172 PECOS PAC ID: 3173421906 Enrollment ID: I20031230000580 |
| Provider Name | David Bui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962585802 PECOS PAC ID: 0042317141 Enrollment ID: I20070524000550 |
| Provider Name | Tracey Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396294971 PECOS PAC ID: 1456630375 Enrollment ID: I20161117001077 |
| Provider Name | Agnabel Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871109462 PECOS PAC ID: 8921412404 Enrollment ID: I20210125000309 |
| Provider Name | Ketty Chery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750974663 PECOS PAC ID: 9931595402 Enrollment ID: I20220408002059 |
| Provider Name | Shannon Quintana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346084704 PECOS PAC ID: 4880125608 Enrollment ID: I20241003004147 |
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