| Doctor Name: | DR. VI T. NGO |
| NPI Number: | 1558590273 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | UO2239 |
| Business Practice Address: | 1350 S. Hickory Street Nemours Pediatric Partners At Holmes Regional Medical C Melbourne, FL - 329013224 |
| Business Phone Number: | 3214347208 |
| Business Fax Number: | 3214345344 |
| Mailing Address: | P.o. Box 191, Provider Enrollment Department ROCKLAND |
| State: | DE |
| Postal Code: | 197320191 |
| Phone Number: | 3026514488 |
| Fax Number: | 3026514945 |
| NPI Enumeration Date: | 07/02/2009 |
| NPI Last Update Date: | 10/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | UO2239 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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. |