Provider Demographics
NPI:1447411525
Name:LE, BAOQUANG S (DO)
Entity type:Individual
Prefix:DR
First Name:BAOQUANG
Middle Name:S
Last Name:LE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:425 W COLONIAL DR STE 303
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-6863
Mailing Address - Country:US
Mailing Address - Phone:321-343-6833
Mailing Address - Fax:639-304-0303
Practice Address - Street 1:3035 LAKELAND HILLS BLVD STE 4
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-2201
Practice Address - Country:US
Practice Address - Phone:863-354-3050
Practice Address - Fax:863-337-3050
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2025-02-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALDO1459208D00000X
FLOS15776207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice