Individual
DR. NGA PHUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
400 E DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33603-3866
(181) 387-4872
(813) 877-3420
Mailing address
10115 PALERMO CIR, 103, TAMPA, FL 33619-5079
(352) 328-4772
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4537
FL
Other
Enumeration date
08/19/2010
Last updated
09/28/2010
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