Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phuong Ly

Individual provider Physician Assistant · NPI 1922696129

Phuong Ly is a Physician Assistant in Orlando, Florida. Qualified in 2022, 4 years ago. Practices with Orlando Health Medical Group Inc, a 2,137-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2021
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Practice location Address checks out

1717 S Orange Ave Ste 103
Orlando, FL 32806-2946
Phone: (321) 841-3444
Fax: (321) 843-1753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1507 S Hiawassee Rd Ste 107, Orlando, FL 32835-5706 — (407) 601-5308

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9116750 (FL)

Record details

NPI number1922696129
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 4, 2021
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Orlando Health Medical Group Inc — 2137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Orlando