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Individual
DR. ANH NGUYEN
Active
Individual
DR. ANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3968
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0244040700
—
FL
01
—
M2469
MEDICARE GROUP PTAN
FL
01
—
M2475
MEDICARE GROUP PTAN
FL
01
—
M2505
MEDICARE PTAN
FL
01
—
M2506
MEDICARE PTAN
FL
01
—
PO3968
MEDICAL LICENSE
FL
Enumeration date
07/17/2015
Last updated
09/30/2020
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