Organization
ANDREW NGUYEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW NGUYEN MD (MD)
(352) 463-7381
Entity
Organization
Contact information
Practice address
308 N MAIN STREET, TRENTON, FL 32693
(352) 463-7381
(352) 463-7273
Mailing address
308 N MAIN STREET, TRENTON, FL 32693
(352) 463-7381
(352) 463-7273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME43248
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05067200
VISTA
FL
05
—
0680028-00
—
FL
05
—
0680028-01
—
FL
01
—
233749
AV-MED
FL
Enumeration date
05/21/2010
Last updated
08/17/2018
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