Individual
MICHELLE THANH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1329 SW 16TH ST STE 5270, GAINESVILLE, FL 32608-1128
(352) 733-1471
(352) 265-5606
Mailing address
8823 AUDREY LN, TAMPA, FL 33615-3701
(813) 952-6293
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A196286
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
03/22/2021
Last updated
09/24/2024
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