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
Mailing address1717 S Orange Ave Ste 103, Orlando, FL 32806-2946

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