Doctor Name: | DR. JANET LE NGUYEN-SPERRY |
NPI Number: | 1013118199 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | TRN6661 |
Business Practice Address: | 12993 Southern Blvd Loxahatchee, FL - 334709215 |
Business Phone Number: | 5617849008 |
Business Fax Number: | 5617840905 |
Mailing Address: | 2234 Colonial Blvd, Attn: Payer Contracting & Relations FORT MYERS |
State: | FL |
Postal Code: | 339071412 |
Phone Number: | 2399317342 |
Fax Number: | 2399317385 |
NPI Enumeration Date: | 05/29/2007 |
NPI Last Update Date: | 04/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | TRN6661 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |