Individual
TAMMY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5959 CENTRAL AVE STE 103, ST PETERSBURG, FL 33710-8502
(727) 767-6060
(727) 767-1285
Mailing address
5959 CENTRAL AVE STE 103, ST PETERSBURG, FL 33710-8502
(727) 767-6060
(727) 767-1285
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME137903
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102682400
—
FL
Enumeration date
06/02/2015
Last updated
05/09/2019
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