Individual
TUAN NMN NGUYENDUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1718 LEXINGTON GREEN LN, SANFORD, FL 32771-1018
(407) 302-5520
(864) 542-1045
Mailing address
1718 LEXINGTON GREEN LN, SANFORD, FL 32771-1018
(407) 302-5520
(407) 324-2896
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
15552
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME142633
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195808
MEDCOST
SC
01
—
4242025
AETNA
SC
05
—
890586X
—
NC
01
—
B744975019
MEDICARE PIN
SC
05
—
TL5083
—
SC
Enumeration date
03/15/2006
Last updated
01/28/2022
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