Individual
DR. THANH BINH VU NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13801 BRUCE B DOWNS BLVD STE 205, TAMPA, FL 33613-3937
(813) 971-4678
Mailing address
15001 NAPLES PL, NONE, TAMPA, FL 33624-2070
(813) 340-2211
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO3771
FL
390200000X
Student in an Organized Health Care Education/Training Program
PR327
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019477500
—
FL
01
—
M2469
MEDICARE GROUP PTAN
FL
01
—
M2475
MEDICARE GROUP PTAN
FL
01
—
M2497
MEDICARE PTAN
FL
01
—
M2498
MEDICARE PTAN
FL
Enumeration date
06/29/2013
Last updated
09/30/2020
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