Individual
NAM-PHUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1651 N SEMORAN BLVD, ORLANDO, FL 32807
(407) 249-1234
(407) 249-1755
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(407) 249-1234
(407) 249-1755
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME102535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000411900
—
FL
Enumeration date
08/28/2008
Last updated
03/21/2018
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