Individual provider Active NPI

Phuong Uyen Le, APRN

  • Nurse Practitioner
  • Trinity, FL
National Provider Identifier
1306507066
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11017955 Issued in FL
Practice address
9320 State Road 54
Trinity, FL 34655-1808
Phone
(727) 842-8411
NPI assigned
Jan 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11017955 FL Primary
Registered Nurse 163W00000X 9357816 FL

Addresses

Primary practice location

9320 State Road 54
Trinity, FL 34655-1808

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

3280 N McMullen Booth Rd Ste 200
Clearwater, FL 33761-2046
Phone (727) 216-1141

Other practice location 2

4051 Upper Creek Dr Ste 103B
Sun City Center, FL 33573-6848
Phone (813) 633-3955

Other practice location 3

725 6th Ave S Ste 2200
St Petersburg, FL 33701-4553
Phone (727) 821-0017

Other practice location 4

100 Highland Ave N
Largo, FL 33770-2542
Phone (727) 683-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220317000012 FL Practitioner - Nurse Practitioner 2264827823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Cancer Specialists and Research Institute, LLCGroup PAC ID 2567356058, 464 clinicians

Practice addresses (Care Compare)

9320 State Rd
Suite 54
Trinity, FL 34655-1808
Phone (727) 842-8411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9357816FLMDRegistered Nurse
APRN11017955FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Feb 4, 2022 Accepting new patients

Locations

3280 N McMullen Booth Rd
Ste 200
Clearwater, FL 33761
Phone (727) 216-1141

100 Highland Ave N
Fl Cancer
Largo, FL 33770
Phone (727) 683-2900

100 Highland Ave N
Largo, FL 33770
Phone (727) 683-2900

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

725 6th Ave S
Ste 2200
St Petersburg, FL 33701
Phone (727) 821-0017

1201 5th Ave N
Ste 505
St Petersburg, FL 33705
Phone (727) 821-0017

4051 Upper Creek Dr
Ste 103B
Sun City Center, FL 33573
Phone (813) 633-3955

9320 State Road 54
Trinity, FL 34655
Phone (727) 493-2513

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: ple346641@orlandohealth.medalliesdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1306507066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 STATE ROAD 54",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551808",
            "telephone_number": "727-842-8411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3280 N McMullen Booth Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612046",
            "country_code": "US",
            "telephone_number": "727-216-1141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4051 Upper Creek Dr Ste 103B",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335736848",
            "country_code": "US",
            "telephone_number": "813-633-3955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 6th Ave S Ste 2200",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337014553",
            "country_code": "US",
            "telephone_number": "727-821-0017",
            "fax_number": "727-822-7473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 HIGHLAND AVE N",
            "address_purpose": "LOCATION",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702542",
            "country_code": "US",
            "telephone_number": "727-683-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "PHUONG",
        "middle_name": "UYEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-05",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11017955",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9357816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.