Individual
AMY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4321 N MACDILL AVE STE 407, TAMPA, FL 33607-6396
(813) 554-8690
(813) 605-6068
Mailing address
4321 N MACDILL AVE STE 407, TAMPA, FL 33607-6396
(813) 554-8690
(813) 605-6068
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9115949
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115046600
—
FL
Enumeration date
05/11/2022
Last updated
06/17/2024
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