# ROBERT NGUYEN DPM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104053750
- **Authorized official:** ROBERT NGUYEN DPM (PRESIDENT)
- **Authorized official phone:** (630) 688-1240

## Contact information

- **Practice address:** 2699 STIRLING RD, SUITE A301/302, FORT LAUDERDALE, FL 33312-6517
- **Practice address phone:** (954) 278-3890
- **Practice address fax:** (954) 251-1470
- **Mailing address:** 10273 SW 24TH ST, MIRAMAR, FL 33025-6507
- **Mailing address phone:** (954) 278-3890
- **Mailing address fax:** (954) 251-1470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2009
- **Last updated:** 11/20/2014