# ANDREW NGUYEN MD PA

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

## Provider details

- **NPI number:** 1487973012
- **Authorized official:** ANDREW NGUYEN MD (MD)
- **Authorized official phone:** (352) 463-7381

## Contact information

- **Practice address:** 308 N MAIN STREET, TRENTON, FL 32693
- **Practice address phone:** (352) 463-7381
- **Practice address fax:** (352) 463-7273
- **Mailing address:** 308 N MAIN STREET, TRENTON, FL 32693
- **Mailing address phone:** (352) 463-7381
- **Mailing address fax:** (352) 463-7273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME43248 | FL | Yes |

## Other

- **Enumeration date:** 05/21/2010
- **Last updated:** 08/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 05067200 | VISTA | FL |
| 05 | — | 0680028-00 | — | FL |
| 05 | — | 0680028-01 | — | FL |
| 01 | — | 233749 | AV-MED | FL |