Doctor Name: | HUNG M NGUYEN |
NPI Number: | 1437314879 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 21215 |
Business Practice Address: | 7000 Hc Kelley Rd Orlando, FL - 328312518 |
Business Phone Number: | 4072077360 |
Business Fax Number: | |
Mailing Address: | 8221 Lost Lake Dr, ORLANDO |
State: | FL |
Postal Code: | 328171533 |
Phone Number: | 4076799738 |
Fax Number: | 4076799738 |
NPI Enumeration Date: | 07/24/2008 |
NPI Last Update Date: | 07/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 21215 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |