Individual
DR. ELISABETH L NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10284 NW 47TH ST, SUNRISE, FL 33351-7967
(954) 578-3732
Mailing address
10284 NW 47TH ST, SUNRISE, FL 33351-7967
(954) 578-3732
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3147
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08693300
—
FL
Enumeration date
07/06/2006
Last updated
01/26/2015
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