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

Dr. Dustin N Ly, MD

Individual provider Internal Medicine Physician · NPI 1710195268

Dr. Dustin N Ly, MD is a General Practice in Saint Cloud, Florida. Qualified in 2009, 17 years ago. Practices with East Lake Medical Clinic, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
17
Licensed in
FL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4737 Old Canoe Creek Rd
Saint Cloud, FL 34769-1400
Phone: (407) 705-3222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME114777 (FL)

Record details

NPI number1710195268
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 18, 2007
Last updated in NPPESJanuary 2, 2014

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice East Lake Medical Clinic — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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