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Organization

DR PAULINE L NGUYEN O D & ASSOCIATES P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAULINE LAM NGUYEN O D (OPTOMETRIST)
(407) 780-6546
Entity
Organization

Contact information

Practice address
3020 LAMBERTON BLVD, SUITE 107, ORLANDO, FL 32825
(407) 780-6546
Mailing address
10040 SAVANNAH BLUFF LANE, ORLANDO, FL 32829
(407) 780-6546

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC004095
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
621298100
FL
Enumeration date
04/09/2008
Last updated
06/27/2011
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