| Doctor Name: | DR. MY-DUC THI NGUYEN |
| NPI Number: | 1316908668 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | |
| Business Practice Address: | 2301 Sand Lake Rd Orlando, FL - 328097639 |
| Business Phone Number: | 4078516478 |
| Business Fax Number: | 4072401970 |
| Mailing Address: | 2600 Westhall Lane, Box 300 MAITLAND |
| State: | FL |
| Postal Code: | 32751 |
| Phone Number: | 4072002807 |
| Fax Number: | 4072001353 |
| NPI Enumeration Date: | 03/28/2006 |
| NPI Last Update Date: | 07/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GU |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |