Organization
DUC LE NGUYEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUC LE NGUYEN MD (OWNER)
(904) 355-8802
Entity
Organization
Contact information
Practice address
803 ROSSELLE ST, JACKSONVILLE, FL 32204-2943
(904) 355-8802
Mailing address
803 ROSSELLE ST, JACKSONVILLE, FL 32204-2943
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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