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Individual

DAVID T NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
10799 PARK BLVD, SEMINOLE, FL 33772-5420
(727) 547-8425
(813) 635-2699
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 315-7496

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS-7942
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
260837500
FL
01
58652
FLORIDA BLUE
FL
Enumeration date
03/13/2007
Last updated
12/31/2024
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