Active NPI
Raymond Hoa Binh Ly, MD
- General Practice Physician
- Kissimmee, FL
National Provider Identifier
1689641854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME45840
- Practice address
- 1875 Boggy Creek Rd
Kissimmee, FL 34744-4428 - Phone
- (407) 943-7010
- Fax
- (407) 343-2002
- NPI assigned
- Mar 7, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME45840 | FL | Primary |
Addresses
Primary practice location
1875 Boggy Creek Rd
Kissimmee, FL 34744-4428
Mailing address
8990 Elizabeth Falls Dr
Jacksonville, FL 32257-5398
Phone (407) 943-7010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME45840 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1689641854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8990 ELIZABETH FALLS DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322575398",
"telephone_number": "407-943-7010",
"fax_number": "407-343-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 BOGGY CREEK RD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444428",
"telephone_number": "407-943-7010",
"fax_number": "407-343-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "RAYMOND",
"middle_name": "HOA BINH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME45840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.