Individual
DR. JIMMY DIEP NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11215 METRO PKWY STE 1, FORT MYERS, FL 33966-1206
(239) 208-2212
Mailing address
11215 METRO PKWY STE 1, FORT MYERS, FL 33966-1206
(239) 208-2212
(239) 220-8399
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
114802
MT
2084N0400X
Neurology Physician
2022049104
MO
2084N0400X
Neurology Physician
37664
AZ
2084N0400X
Neurology Physician
MD 00049262
WA
2084N0400X
Neurology Physician
MD2008-0758
NM
2084N0400X
Neurology Physician
Primary
ME158900
FL
Other
Enumeration date
11/14/2007
Last updated
08/30/2023
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