Organization
PHU H NGUYEN DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HAYDEE I MAYSONET (OFFICE MANAGER)
(305) 854-6600
Entity
Organization
Contact information
Practice address
3661 S MIAMI AVE, SUITE # 309, MIAMI, FL 33133-4236
(305) 854-6600
(305) 854-9777
Mailing address
3661 S MIAMI AVE, SUITE # 309, MIAMI, FL 33133-4236
(305) 854-6600
(305) 854-9777
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340630000
—
FL
01
—
65931
BC BS FLA
—
Enumeration date
07/15/2010
Last updated
07/15/2010
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